Carol Diane Green, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC17343 Issued in CA

Practice address

14621 Titus St
#117
Panorama City, CA 91402-4905

Phone

(818) 781-6694

NPI assigned

Feb 20, 2009

Last updated

Feb 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1215177902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14621 TITUS ST",
            "address_2": "#117",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024905",
            "telephone_number": "818-781-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14621 TITUS ST",
            "address_2": "#117",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024905",
            "telephone_number": "818-781-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CAROL",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC17343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne E. Grant, PHARM.D.
• Nina Moghaddam Gray, DMD
• Great Choice Hospice, Inc.
• Marian M. Grecia-Labaro, MD
• Amanda Beth Green, M.D.
• Erlinda Dy Grey, M.D.
• Danil Grishechkin, LVN
• Vicki S Grosdidier, CNM
• John L. Gruen, MD
• Mohamed D. Gudal, MD

• Marriage & Family Therapist in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.