Active NPI
Myrna E Blaufarb, PH.D.
- Group Psychotherapy Psychologist
- Los Angeles, CA
National Provider Identifier
1295746279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- License
- PSY2694
- Practice address
- 3807 Wilshire Blvd
Los Angeles, CA 90010-3101 - Phone
- (213) 427-3220
- Fax
- (213) 427-3288
- NPI assigned
- Aug 11, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY2694 | CA | |
| Counseling Psychologist | 103TC1900X | PSY2694 | CA | |
| Health Service Psychologist | 103TH0100X | PSY2694 | CA | |
| Psychologist | 103T00000X | PSY2694 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY2694 | CA | Primary |
Addresses
Primary practice location
3807 Wilshire Blvd
Los Angeles, CA 90010-3101
Mailing address
3807 Wilshire Blvd
Second Floor
Los Angeles, CA 90010-3101
Phone (213) 427-3220
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY2694 | CA | MD | Group Psychotherapy Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1295746279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3807 WILSHIRE BLVD",
"address_2": "SECOND FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103101",
"telephone_number": "213-427-3220",
"fax_number": "213-427-3288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3807 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103101",
"telephone_number": "213-427-3220",
"fax_number": "213-427-3288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAUFARB",
"first_name": "MYRNA",
"middle_name": "E",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY2694",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY2694",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "CA",
"license": "PSY2694",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY2694",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "PSY2694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.