Organization Active NPI

Kaylan Nichole Corporation

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1225689938
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KAYLAN NICHOLE CORPORATION
Practice address
10436 Santa Monica Blvd Ste 3010
Los Angeles, CA 90025-5079
Phone
(559) 816-3903
NPI assigned
Sep 24, 2019
Last updated
Sep 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
Ms. Kaylan Nichole Dias, LMFT
Title
Licensed Marriage & Family Therapis
Phone
(559) 816-3903

Specialties & licenses 1

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

Addresses

Primary practice location

10436 Santa Monica Blvd Ste 3010
Los Angeles, CA 90025-5079

Mailing address

10436 Santa Monica Blvd Ste 3010
Los Angeles, CA 90025-5079
Phone (559) 816-3903

National Provider Directory

National Provider Directory

Locations

10436 Santa Monica Blvd
Ste 3010
Los Angeles, CA 90025
Phone (310) 281-6045

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1225689938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10436 SANTA MONICA BLVD STE 3010",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255079",
            "telephone_number": "559-816-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10436 SANTA MONICA BLVD STE 3010",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255079",
            "telephone_number": "559-816-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLAN NICHOLE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "DIAS",
        "authorized_official_first_name": "KAYLAN",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "LICENSED MARRIAGE & FAMILY THERAPIS",
        "authorized_official_telephone_number": "559-816-3903",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.