Active NPI
Janet Elizabeth Goldstein-Ball, MFT, CEDS
- Marriage & Family Therapist
- Burbank, CA
National Provider Identifier
1083955488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC52401
- Practice address
- 4405 W Riverside Dr Ste 106
Burbank, CA 91505-4050 - Phone
- (818) 497-7299
- NPI assigned
- Mar 9, 2013
- 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 | MFC52401 | CA | Primary |
Addresses
Primary practice location
4405 W Riverside Dr Ste 106
Burbank, CA 91505-4050
Mailing address
11641 Valley Spring LN Apt 306
Studio City, CA 91604-2892
Phone (818) 497-4098
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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 |
|---|---|---|---|
| MFC52401 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1083955488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11641 VALLEY SPRING LN APT 306",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042892",
"telephone_number": "818-497-4098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 W RIVERSIDE DR STE 106",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054050",
"telephone_number": "818-497-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN-BALL",
"first_name": "JANET",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MFT, CEDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-09",
"last_updated": "2021-11-23",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC52401",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4760 W Sunset Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900276063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.