Individual provider Active NPI

William C Moran, ASSOCIATE MFT

  • Marriage & Family Therapist
  • Calabasas, CA
National Provider Identifier
1275138117
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120046 Issued in CA
Practice address
24005 Ventura Blvd
Calabasas, CA 91302-1447
Phone
(818) 404-9783
NPI assigned
Nov 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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 120046 CA Primary

Addresses

Primary practice location

24005 Ventura Blvd
Calabasas, CA 91302-1447

Mailing address

24005 Ventura Blvd
Calabasas, CA 91302-1447
Phone (818) 404-9783

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address b-moran@live.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 26, 2024 through Aug 26, 2026

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1275138117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24005 VENTURA BLVD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021447",
            "telephone_number": "818-404-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24005 VENTURA BLVD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021447",
            "telephone_number": "818-404-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "ASSOCIATE MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "b-moran@live.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "24005 Ventura Blvd",
            "city": "Calabasas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913021447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.