Active NPI
Kevin Brody
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1245855824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 2717 S Robertson Blvd
Los Angeles, CA 90034-2442 - Phone
- (323) 935-1807
- NPI assigned
- Jun 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
2717 S Robertson Blvd
Los Angeles, CA 90034-2442
Mailing address
2644 30TH St Ste 100
Santa Monica, CA 90405-3051
Phone (224) 300-9407
Other practice location 1
427 N Adams St Apt 16
Glendale, CA 91206-3413
Phone (224) 300-9407
Other practice location 2
1865 9th St
Santa Monica, CA 90404
Phone (224) 300-9407
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1245855824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2644 30TH ST STE 100",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053051",
"telephone_number": "224-300-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 S ROBERTSON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900342442",
"telephone_number": "323-935-1807"
}
],
"practiceLocations": [
{
"address_1": "427 N Adams St Apt 16",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912063413",
"country_code": "US",
"telephone_number": "224-300-9407",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1865 9th St",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "90404",
"country_code": "US",
"telephone_number": "224-300-9407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRODY",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-10",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 18, 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.