Annabelle Wiviott Marriage and Family Therapy Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ANNABELLE WIVIOTT MARRIAGE AND FAMILY THERAPY INC

Practice address

875 S Westlake Blvd Ste 211
Westlake Village, CA 91361-2925

Phone

(805) 449-4375

NPI assigned

Jun 25, 2021

Organization subpart

No

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

Authorized official

Name

Annabelle Eva Wiviott, LMFT

Title

President

Phone

(805) 449-4375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 21, 2024 through Feb 21, 2028

Medicare enrollment (NPD)

Not enrolled

Locations

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1255901971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PARKWAY CALABASAS STE 107",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S WESTLAKE BLVD STE 211",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612925",
            "telephone_number": "805-449-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNABELLE WIVIOTT MARRIAGE AND FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "WIVIOTT",
        "authorized_official_first_name": "ANNABELLE",
        "authorized_official_middle_name": "EVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-449-4375",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Cohen Child and Family Therapy Corp
• Andrew J. Goldenberg PC
• Andrew J. Mikaelian, M.D. Inc.
• Andrey Rossius DDS Inc
• Anita Kaplan, Licensed Clinical Social Worker, Inc.
• Another Day Psychology
• Anthony Bledin M.D. Inc
• Anthony Virella MD Professional Corporation
• Ethel Antonio, NP
• Apollo Health Systems

• All providers in Westlake Village, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.