Individual provider Active NPI

Nancy Guatemala, AMFT

  • Marriage & Family Therapist
  • Woodland Hills, CA
National Provider Identifier
1134775372
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138397 Issued in CA
Practice address
20501 Ventura Blvd Ste 170
Woodland Hills, CA 91364-6258
Phone
(818) 657-0411
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 138397 CA Primary

Addresses

Primary practice location

20501 Ventura Blvd Ste 170
Woodland Hills, CA 91364-6258

Mailing address

17407 Sherman Way
Van Nuys, CA 91406-3505
Phone (818) 304-1311

Other names 1

  • Nancy Siquina Former name

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

State licenses

LicenseStateTypeSpecialty
138397CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Community Treatment Services Inc PastSince Mar 12, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1134775372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17407 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063505",
            "telephone_number": "818-304-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20501 VENTURA BLVD STE 170",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646258",
            "telephone_number": "818-657-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUATEMALA",
        "first_name": "NANCY",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SIQUINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.