Individual provider Active NPI

Renaldo Strayhorn

  • Marriage & Family Therapist
  • West Hollywood, CA
National Provider Identifier
1255469680
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106H00000X Issued in CA
Practice address
8235 Santa Monica Blvd
4TH Floor
West Hollywood, CA 90046-5914
Phone
(818) 753-6606
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

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

Addresses

Primary practice location

8235 Santa Monica Blvd
4TH Floor
West Hollywood, CA 90046-5914

Mailing address

PO Box 38074
Los Angeles, CA 90038-0074
Phone (818) 753-6606

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

LicenseStateTypeSpecialty
106H00000XCAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1255469680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38074",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900380074",
            "telephone_number": "818-753-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 SANTA MONICA BLVD",
            "address_2": "4TH FLOOR",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465914",
            "telephone_number": "818-753-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAYHORN",
        "first_name": "RENALDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106H00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.