Individual provider Active NPI

Yasmin Vishram-Morris, MFT

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1265563514
Registry record updated Oct 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC44256 Issued in CA
Practice address
9696 Culver Blvd Ste 303
Culver City, CA 90232-2759
Phone
(424) 750-5835
Fax
(424) 703-6627
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2022

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 MFC44256 CA Primary

Addresses

Primary practice location

9696 Culver Blvd Ste 303
Culver City, CA 90232-2759

Mailing address

6756 6TH Ave
Los Angeles, CA 90043-4408
Phone (424) 750-5835

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
MFC44256CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665273600000",
    "number": "1265563514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6756 6TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434408",
            "telephone_number": "424-750-5835",
            "fax_number": "424-703-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9696 CULVER BLVD STE 303",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322759",
            "telephone_number": "424-750-5835",
            "fax_number": "424-703-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISHRAM-MORRIS",
        "first_name": "YASMIN",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2022-10-09",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC44256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2022; 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.