NPIMap

Organization Active NPI

Social Coaching Club Inc.

  • Marriage & Family Therapist
  • Woodland Hills, CA
National Provider Identifier
1144639253
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
49485 Issued in CA
Legal business name
SOCIAL COACHING CLUB INC.
Practice address
5353 Topanga Canyon Blvd
Suite 209
Woodland Hills, CA 91364-1737
Phone
(818) 379-3340
NPI assigned
Aug 4, 2014
Last updated
Aug 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Samantha Heiden Blank, M.S.
Title
Co-Owner
Phone
(818) 379-3340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 49485 CA Primary

Addresses

Primary practice location

5353 Topanga Canyon Blvd
Suite 209
Woodland Hills, CA 91364-1737

Mailing address

5353 Topanga Canyon Blvd
Suite 209
Woodland Hills, CA 91364-1737
Phone (818) 379-3340

National Provider Directory

National Provider Directory

Locations

5353 Topanga Canyon Blvd
Ste 209
Woodland Hills, CA 91364
Phone (818) 379-3340

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1144639253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 TOPANGA CANYON BLVD",
            "address_2": "SUITE 209",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641737",
            "telephone_number": "818-379-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 TOPANGA CANYON BLVD",
            "address_2": "SUITE 209",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641737",
            "telephone_number": "818-379-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL COACHING CLUB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "HEIDEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "818-379-3340",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 2014; 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.