Active NPI
Eugenia Buerklin, M.F.T.
- Marriage & Family Therapist
- Van Nuys, CA
National Provider Identifier
1154708279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 86407
- Practice address
- 6506 McLennan Ave
Van Nuys, CA 91406-5537 - Phone
- (818) 679-2599
- NPI assigned
- Apr 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 86407 | CA | Primary |
Addresses
Primary practice location
6506 McLennan Ave
Van Nuys, CA 91406-5537
Mailing address
15435 Stare St
Mission Hills, CA 91345-2919
Phone (818) 679-2599
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86407 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugenia Buerklin Licensed Marriage Family Therapist Inc. | Current | 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.
-
- Community/Behavioral Health Agency
- Reseda, CA
- NPI 1407554520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1154708279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15435 STARE ST",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913452919",
"telephone_number": "818-679-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6506 MCLENNAN AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914065537",
"telephone_number": "818-679-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUERKLIN",
"first_name": "EUGENIA",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-27",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "86407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.