Individual provider Active NPI

Elyse I Corman, MFT

  • Marriage & Family Therapist
  • Calabasas, CA
National Provider Identifier
1093900102
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37359 Issued in CA
Practice address
4768 Park Granada Ste 102
Calabasas, CA 91302
Phone
(818) 914-1221
Fax
(818) 301-2351
NPI assigned
Sep 11, 2007
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 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 MFC37359 CA Primary

Addresses

Primary practice location

4768 Park Granada Ste 102
Calabasas, CA 91302

Mailing address

4768 Park Granada # 102
Calabasas, CA 91302-1548
Phone (818) 317-8974

Other practice location 1

5442 Sale Ave
Woodland Hills, CA 91367-4340
Phone (818) 317-8974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC37359CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elyse Corman LMFT, a Licensed Marriage and Family Therapy Corporation Marriage & Family Therapist CurrentSince Mar 28, 2024 Accepting new patients

Locations

4768 Park Granada
Ste 102
Calabasas, CA 91302
Phone (818) 317-8974

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1093900102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4768 PARK GRANADA # 102",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021548",
            "telephone_number": "818-317-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4768 PARK GRANADA STE 102",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "91302",
            "telephone_number": "818-914-1221",
            "fax_number": "818-301-2351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5442 Sale Ave",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913674340",
            "country_code": "US",
            "telephone_number": "818-317-8974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORMAN",
        "first_name": "ELYSE",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.