Active NPI
Daniel Batalla
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1235494162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 118839
- Practice address
- 2017 E 4TH St
Long Beach, CA 90814-1001 - Phone
- (562) 434-4455
- Fax
- (562) 433-6428
- NPI assigned
- Jul 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF 87337 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Marriage & Family Therapist | 106H00000X | 118839 | CA | Primary |
Addresses
Primary practice location
2017 E 4TH St
Long Beach, CA 90814-1001
Mailing address
4001 Long Beach Blvd
Long Beach, CA 90807-2616
Phone (562) 427-7671
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 |
|---|---|---|---|
| IMF 87337 | CA | MD | Mental Health Counselor |
| 118839 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One in Long Beach, Inc. | Rehabilitation Practitioner | Past | Accepting new patients |
| One in Long Beach, Inc. | Past | Accepting new patients | |
| For the Child, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- Long Beach, CA
- NPI 1144354275
-
dba The LGBTQ Center of Long Beach
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1528199643
-
dba The LGBTQ Center of Long Beach
- Rehabilitation Practitioner
- Long Beach, CA
- NPI 1730504531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1235494162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 LONG BEACH BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072616",
"telephone_number": "562-427-7671",
"fax_number": "562-595-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 E 4TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908141001",
"telephone_number": "562-434-4455",
"fax_number": "562-433-6428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATALLA",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-06",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF 87337",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "118839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.