Felt Psychotherapy Collective

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

FELT PSYCHOTHERAPY COLLECTIVE

Doing business as

Felt Psychotherapy Collective

Practice address

1145 1/2 Nowita PL
Venice, CA 90291-5525

Phone

(323) 420-4223

NPI assigned

Mar 21, 2023

Last updated

Mar 21, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamala Poljak, MA, LMFTNPI 1306494240

Title

Owner

Phone

(323) 420-4223

Specialties & licenses 1

Addresses

Other names 1

• Felt Psychotherapy Collective Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tamala Jo Poljak, MA, LMFT

  • Marriage & Family Therapist
  • Venice, CA
  • NPI 1306494240
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1063114064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 1/2 NOWITA PL",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902915525",
            "telephone_number": "323-420-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 1/2 NOWITA PL",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902915525",
            "telephone_number": "323-420-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELT PSYCHOTHERAPY COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "POLJAK",
        "authorized_official_first_name": "TAMALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-420-4223",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Felt Psychotherapy Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Eno, M.D.
• Adriana Eversole
• Evo Health and Wellness, LLC
• Justin Fearrington
• Todd Feinman, M.D.
• Michel Ferguson
• Melissa Fernandez
• Zac Fischman, BS
• Flee MD, a Medical Corporation
• Fernanda Flores

• Marriage & Family Therapist in Venice, CA
• Providers in Venice, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.