Active NPI
My la Therapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Monica, CA
National Provider Identifier
1124878574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MY LA THERAPY
- Practice address
- 130 Ocean Park Blvd Unit 232
Santa Monica, CA 90405-3566 - Phone
- (949) 295-0980
- NPI assigned
- Mar 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brooke Sprowl
- Title
- Owner/Founder
- Phone
- (949) 295-0980
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
130 Ocean Park Blvd Unit 232
Santa Monica, CA 90405-3566
Mailing address
130 Ocean Park Blvd Unit 232
Santa Monica, CA 90405-3566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568631141 | Other | CA | NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712016000000",
"number": "1124878574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 OCEAN PARK BLVD UNIT 232",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 OCEAN PARK BLVD UNIT 232",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053566",
"telephone_number": "949-295-0980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY LA THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-26",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A",
"authorized_official_last_name": "SPROWL",
"authorized_official_first_name": "BROOKE",
"authorized_official_title_or_position": "OWNER/FOUNDER",
"authorized_official_telephone_number": "949-295-0980"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1568631141",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.