Individual provider Active NPI

Neishamia Brianna Kayizzi

  • Marriage & Family Therapist
  • Hermosa Beach, CA
National Provider Identifier
1265206221
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2401 Pacific Coast Hwy Ste 106
Hermosa Beach, CA 90254-2734
Phone
(424) 247-6010
NPI assigned
Nov 9, 2023
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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 Primary

Addresses

Primary practice location

2401 Pacific Coast Hwy Ste 106
Hermosa Beach, CA 90254-2734

Mailing address

5875 Interceptor St
Los Angeles, CA 90045-4718

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

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Individual Art Therapy Marriage & Family Therapist CurrentSince Oct 27, 2024 Accepting new patients

Locations

2401 Pacific Coast Hwy
Ste 106
Hermosa Beach, CA 90254
Phone (424) 209-2095

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1265206221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 INTERCEPTOR ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PACIFIC COAST HWY STE 106",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542734",
            "telephone_number": "424-247-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYIZZI",
        "first_name": "NEISHAMIA",
        "middle_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2023-11-09",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

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

Verify at the official NPI Registry.