Organization Active NPI

Michele Conklin Therapy

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1093198087
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 83523 Issued in CA
Legal business name
MICHELE CONKLIN THERAPY
Practice address
10516 Santa Monica Blvd
Suite 1
Los Angeles, CA 90025-4964
Phone
(424) 281-7209
NPI assigned
Jul 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Michele Conklin Montrone, LMFT
Title
Owner, Psychotherapist
Phone
(424) 281-7209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC 83523 CA Primary

Addresses

Primary practice location

10516 Santa Monica Blvd
Suite 1
Los Angeles, CA 90025-4964

Mailing address

10516 Santa Monica Blvd
Suite 1
Los Angeles, CA 90025-4964
Phone (424) 281-7209

National Provider Directory

National Provider Directory

Locations

10516 Santa Monica Blvd
Ste 1
Los Angeles, CA 90025
Phone (310) 446-3458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1093198087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10516 SANTA MONICA BLVD",
            "address_2": "SUITE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254964",
            "telephone_number": "424-281-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10516 SANTA MONICA BLVD",
            "address_2": "SUITE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254964",
            "telephone_number": "424-281-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE CONKLIN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "CONKLIN MONTRONE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "424-281-7209",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 83523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.