The Hollywood Therapist

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

54004 Issued in CA

Legal business name

THE HOLLYWOOD THERAPIST

Practice address

7104 Franklin Ave Apt 12
West Hollywood, CA 90046-3023

Phone

(619) 309-8291

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jesse Hugh Hauck, LMFT

Title

Licensed Marriage Family Therapist

Phone

(619) 309-8291

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1124493184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 FRANKLIN AVE APT 12",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900463023",
            "telephone_number": "619-309-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7104 FRANKLIN AVE APT 12",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900463023",
            "telephone_number": "619-309-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOLLYWOOD THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "HAUCK",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "LICENSED MARRIAGE FAMILY THERAPIST",
        "authorized_official_telephone_number": "619-309-8291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "54004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Tello, SUDRC #13272
• Eddie Teng, M.D.
• Tatevik A Terteryan, FNP-C
• Nhat Tan Nguyen Thai, PHARM.D
• Justin Phu Than, D.O.
• Nirmala Thejomurthy, MD
• Theressia L Washington MD PC
• Aaron Parapalilthazhay Thomas, M.D.
• Darryl Thomas
• Jessica Michelle Thomas, MD, MPH

• Community/Behavioral Health Agency in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.