Organization Active NPI

Alex Primo Marriage & Family Therapy, Inc., PC

Doing business as Primo Christian Therapy

  • Marriage & Family Therapist
  • Chatsworth, CA
National Provider Identifier
1194588848
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ALEX PRIMO MARRIAGE & FAMILY THERAPY, INC., PC
Doing business as
Primo Christian Therapy
Practice address
20121 Devonshire St
Chatsworth, CA 91311-3408
Phone
(818) 875-9017
NPI assigned
Feb 5, 2024
Last updated
Feb 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Alex Primo, LMFTNPI 1578117826
Title
Marriage & Family Therapist
Phone
(818) 875-9017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

20121 Devonshire St
Chatsworth, CA 91311-3408

Mailing address

18017 Chatsworth St Ste 166
Granada Hills, CA 91344-5608
Phone (818) 875-9017

Other names 1

  • Primo Christian Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

20121 Devonshire St
Chatsworth, CA 91311
Phone (818) 875-9017

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1194588848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18017 CHATSWORTH ST STE 166",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445608",
            "telephone_number": "818-875-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20121 DEVONSHIRE ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113408",
            "telephone_number": "818-875-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX PRIMO MARRIAGE & FAMILY THERAPY, INC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "PRIMO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "818-875-9017",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primo Christian Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.