Individual provider Active NPI

Suzanne M Winick, MFT

  • Marriage & Family Therapist
  • Woodland Hills, CA
National Provider Identifier
1093889941
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
40311 Issued in CA
Practice address
21201 Victory Blvd Ste 220
Woodland Hills, CA 91303-4046
Phone
(818) 422-7409
Fax
(818) 340-7762
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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 40311 CA Primary

Addresses

Primary practice location

21201 Victory Blvd Ste 220
Woodland Hills, CA 91303-4046

Mailing address

PO Box 4062
West Hills, CA 91308-4062
Phone (818) 422-7409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404000763 CA Practitioner - Marriage and Family Therapist 7416471016 Practice locations: Woodland Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21201 Victory Blvd
Suite 220
Woodland Hills, CA 91303-4046
Phone (818) 422-7409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1093889941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4062",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913084062",
            "telephone_number": "818-422-7409",
            "fax_number": "818-340-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21201 VICTORY BLVD STE 220",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913034046",
            "telephone_number": "818-422-7409",
            "fax_number": "818-340-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINICK",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "40311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.