Therapy With Roxanna, Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

LCSW# 64161 Issued in CA

Legal business name

THERAPY WITH ROXANNA, INC

Practice address

16661 Ventura Blvd
#444
Encino, CA 91436-1914

Phone

(310) 384-5527

NPI assigned

Apr 9, 2016

Last updated

Apr 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roxanna Yashouafar Aboudi, LCSWNPI 1801100755

Title

Ceo/ Owner

Phone

(310) 384-5527

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Roxanna Yashouafar Aboudi, LCSW

  • Clinical Social Worker
  • Encino, CA
  • NPI 1801100755
  NPD (past) Authorized official

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460160000000",
    "number": "1154785764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "#444",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "310-384-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "#444",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "310-384-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY WITH ROXANNA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-04-09",
        "status": "A",
        "authorized_official_last_name": "ABOUDI",
        "authorized_official_first_name": "ROXANNA",
        "authorized_official_middle_name": "YASHOUAFAR",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "310-384-5527",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "LCSW# 64161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Encino, CA
• Providers in Encino, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2016; 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.