Individual provider Active NPI

Taylor Mitsuko Mayeda Carranza

  • Marriage & Family Therapist
  • Mission Hills, CA
National Provider Identifier
1073106316
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122346 Issued in CA
Practice address
15340 Devonshire St Ste 7
Mission Hills, CA 91345-2760
Phone
(323) 538-0975
Fax
(818) 484-4084
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 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 122346 CA Primary

Addresses

Primary practice location

15340 Devonshire St Ste 7
Mission Hills, CA 91345-2760

Mailing address

15340 Devonshire St Ste 7
Mission Hills, CA 91345-2760
Phone (323) 538-0975

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

LicenseStateTypeSpecialty
122346CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrated Care Marriage and Family Therapy Inc. Marriage & Family Therapist CurrentSince Feb 21, 2021 Accepting new patients

Locations

15340 Devonshire St
Ste 7
Mission Hills, CA 91345
Phone (323) 538-0975

10200 Sepulveda Blvd
Ste 100
Mission Hills, CA 91345
Phone (323) 879-9176

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1073106316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15340 DEVONSHIRE ST STE 7",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452760",
            "telephone_number": "323-538-0975",
            "fax_number": "818-484-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15340 DEVONSHIRE ST STE 7",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452760",
            "telephone_number": "323-538-0975",
            "fax_number": "818-484-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRANZA",
        "first_name": "TAYLOR",
        "middle_name": "MITSUKO MAYEDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.