Active NPI
Martha C. Maddox, MFT
- Marriage & Family Therapist
- Van Nuys, CA
National Provider Identifier
1205950755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC29630
- Practice address
- 7136 Haskell Ave
Suite 200
Van Nuys, CA 91406-4112 - Phone
- (818) 773-3629
- NPI assigned
- Mar 19, 2007
- 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 | MFC29630 | CA | Primary |
Addresses
Primary practice location
7136 Haskell Ave
Suite 200
Van Nuys, CA 91406-4112
Mailing address
7136 Haskell Ave
Suite 200
Van Nuys, CA 91406-4112
Phone (818) 773-3629
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 |
|---|---|---|---|
| MFC29630 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205950755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7136 HASKELL AVE",
"address_2": "SUITE 200",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914064112",
"telephone_number": "818-773-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7136 HASKELL AVE",
"address_2": "SUITE 200",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914064112",
"telephone_number": "818-773-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "MARTHA",
"middle_name": "C.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC29630",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.