Michael Pezzullo, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120508 Issued in CA

Practice address

8271 Melrose Ave Ste 102
Los Angeles, CA 90046-6800

Phone

(213) 640-9788

NPI assigned

Jul 28, 2020

Last updated

Jul 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1073122776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 REEVESBURY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101422",
            "telephone_number": "347-886-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8271 MELROSE AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900466800",
            "telephone_number": "213-640-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZULLO",
        "first_name": "MICHAEL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Bijan Pezeshki, M.D.
• Farah Pezeshki, PH.D.
• Patrick Pezeshkian, M.D.
• Stephanie Lucine Pezeshkian, D.O.
• Ashley Pezeshkifar, LMFT
• Maria Pezzulo, MA, ABAC
• Brooke Alyson Pfaff, AMFT
• Glenn Pfeffer, MD
• Thomas A. Pfeffer, MD
• Megan Pfefferkorn, LMFT #158768

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 28, 2020; 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.