Active NPI
Andrew Robert Stephanopoulos, MA, MFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1104181478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT#48634
- Practice address
- 9911 W Pico Blvd
Suite 1480
Los Angeles, CA 90035-2703 - Phone
- (310) 422-4248
- NPI assigned
- Jul 11, 2012
- Sex
- Male
- 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 | LMFT#48634 | CA | Primary |
Addresses
Primary practice location
9911 W Pico Blvd
Suite 1480
Los Angeles, CA 90035-2703
Mailing address
269 S Beverly Dr
216
Beverly Hills, CA 90212-3851
Phone (310) 422-4248
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT#48634 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1104181478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 S BEVERLY DR",
"address_2": "216",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123851",
"telephone_number": "310-422-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9911 W PICO BLVD",
"address_2": "SUITE 1480",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352703",
"telephone_number": "310-422-4248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHANOPOULOS",
"first_name": "ANDREW",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "MA, MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT#48634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Sarah Marie Stepanyan, MSN, FNP-BC, NP-C
- Anna Elizabeth Stephan, MD
- Stephanie C. Cha, M.D. Inc.
- Stephanie Caruso Afshar Otrl & Associates
- Stephanie Chan, MD Inc
- Katherine Stephans
- Stephen a Hillman, M.D., a Professional Corporation
- Stephen C Levy MD & Ronald M Andiman MD
- Stephen Copen MD Inc
- Stephen D Bragin, M.D., Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.