Individual provider Active NPI

Judith Patterson, MFT

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1164698684
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 23518 Issued in CA
Practice address
15233 Ventura Blvd
Suite 1216
Sherman Oaks, CA 91403-2201
Phone
(818) 995-3209
Fax
(310) 472-8303
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 23518 CA Primary

Addresses

Primary practice location

15233 Ventura Blvd
Suite 1216
Sherman Oaks, CA 91403-2201

Mailing address

15233 Ventura Blvd
Suite 1216
Sherman Oaks, CA 91403-2201
Phone (818) 995-3209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429003487 CA Practitioner - Marriage and Family Therapist 7012433394 Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 23518CAMDMarriage & Family Therapist
23518CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1164698684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD",
            "address_2": "SUITE 1216",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032201",
            "telephone_number": "818-995-3209",
            "fax_number": "310-472-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD",
            "address_2": "SUITE 1216",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032201",
            "telephone_number": "818-995-3209",
            "fax_number": "310-472-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 23518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.