Lukas Dziemidok, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

142282 Issued in CA

Practice address

13126 1/4 Valleyheart Dr
Studio City, CA 91604-1980

Phone

(747) 356-8388

Fax

(323) 381-5958

NPI assigned

Oct 23, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lukasz Piotr Dziemidok Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Insight & Individual Therapy Inc

  • Marriage & Family Therapist
  • Studio City, CA
  • NPI 1497545529
  NPD Authorized official

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1104698364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12605 VENTURA BLVD # 1078",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042415",
            "telephone_number": "747-356-8388",
            "fax_number": "323-381-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13126 1/4 VALLEYHEART DR",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041980",
            "telephone_number": "747-356-8388",
            "fax_number": "323-381-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIEMIDOK",
        "first_name": "LUKAS",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUKASZ",
            "last_name": "DZIEMIDOK",
            "middle_name": "PIOTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susanna Susie Drmandjian, DC
• Chadney Ann Duncanpauley
• Evan Dunn, LCSW
• Sarah Christine Dunn, BCBA
• Karen L. Durinzi, MD
• Kylie Brooke Ebner, RN
• Ekaterina Gabashvili DMD, Inc.
• Nellie Rose Ekmekjian, M.D.
• Elder Care Holdings Corporation
• Elham Ramtin

• Marriage & Family Therapist in Studio City, CA
• Providers in Studio City, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.