Organization Active NPI

Children'S Developmental Milestones

  • Marriage & Family Therapist
  • Woodland Hills, CA
National Provider Identifier
1144669698
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52153 Issued in CA
Legal business name
CHILDREN'S DEVELOPMENTAL MILESTONES
Practice address
21241 Ventura Blvd Ste 187
Woodland Hills, CA 91364-2196
Phone
(818) 203-5063
NPI assigned
Jun 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Eileen Gholizadeh
Title
Executive Director
Phone
(818) 203-5063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 52153 CA Primary

Addresses

Primary practice location

21241 Ventura Blvd Ste 187
Woodland Hills, CA 91364-2196

Mailing address

21241 Ventura Blvd Ste 187
Woodland Hills, CA 91364-2196
Phone (818) 203-5063

National Provider Directory

National Provider Directory
Tax ID family
Children'S Developmental Milestones3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1144669698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21241 VENTURA BLVD STE 187",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642196",
            "telephone_number": "818-203-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21241 VENTURA BLVD STE 187",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642196",
            "telephone_number": "818-203-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DEVELOPMENTAL MILESTONES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "GHOLIZADEH",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-203-5063"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52153",
            "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 Jun 18, 2013; 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.