Active NPI
Maxine Marks
- Marriage & Family Therapist
- Beverly Hills, CA
National Provider Identifier
1053784629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT87932
- Practice address
- 9171 Wilshire Blvd PH Suite
Beverly Hills, CA 90210-5517 - Phone
- (310) 962-8037
- NPI assigned
- Nov 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT87932 | CA | Primary |
Addresses
Primary practice location
9171 Wilshire Blvd PH Suite
Beverly Hills, CA 90210-5517
Mailing address
9171 Wilshire Blvd PH Suite
Beverly Hills, CA 90210-5517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT87932 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1053784629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9171 WILSHIRE BLVD PH SUITE",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9171 WILSHIRE BLVD PH SUITE",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105517",
"telephone_number": "310-962-8037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "MAXINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT87932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Mark H Goldenberg DDS a Dental Corp Darrin J Hirt DDS Ms Inc
- Mark N Katz, DDS a Professional Corporation
- Mark P Goodman MD Inc
- Mark Shafa MD Inc
- Irene Rodriguez Marker, NP
- Rachel Melissa Marks, PSY.D.
- Sam Siamak Markzar, DDS
- Marpeh Medical
- Marquee Interpreting, Inc
- Marriage Family Therapy Institute of Southern California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.