Individual provider Active NPI

Judith Bin-Nun, PHD

  • Marriage & Family Therapist
  • Venice, CA
National Provider Identifier
1063743367
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT24814 Issued in CA
Practice address
829 Milwood Ave
Venice, CA 90291-3830
Phone
(310) 310-5059
Fax
(310) 310-5059
NPI assigned
Jan 26, 2010
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT24814 CA Primary

Addresses

Primary practice location

829 Milwood Ave
Venice, CA 90291-3830

Mailing address

829 Milwood Ave
Venice, CA 90291-3830
Phone (310) 310-5059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT24814CAMDMarriage & Family Therapist
24814CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1063743367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 MILWOOD AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913830",
            "telephone_number": "310-310-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 MILWOOD AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913830",
            "telephone_number": "310-310-5059",
            "fax_number": "310-310-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIN-NUN",
        "first_name": "JUDITH",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT24814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, CA

Sources for this page

Verify at the official NPI Registry.