Active NPI
Gillian Scott
- Marriage & Family Therapist
- Culver City, CA
National Provider Identifier
1295287514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 105925
- Practice address
- 11260 Overland Ave Apt 8F
Culver City, CA 90230-5531 - Phone
- (310) 729-0751
- NPI assigned
- Nov 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 105925 | CA | Primary |
Addresses
Primary practice location
11260 Overland Ave Apt 8F
Culver City, CA 90230-5531
Mailing address
11825 Major St
Culver City, CA 90230-6356
Phone (323) 271-1600
Other practice location 1
2312 Artesia Blvd
Redondo Beach, CA 90278-3142
Phone (310) 251-5401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 17, 2024 through Jan 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105925 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1295287514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11825 MAJOR ST",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306356",
"telephone_number": "323-271-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11260 OVERLAND AVE APT 8F",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902305531",
"telephone_number": "310-729-0751"
}
],
"practiceLocations": [
{
"address_1": "2312 Artesia Blvd",
"address_purpose": "LOCATION",
"city": "Redondo Beach",
"state": "CA",
"postal_code": "902783142",
"country_code": "US",
"telephone_number": "310-251-5401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "GILLIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-03",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "105925",
"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 Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.