Active NPI
Golnaz Mohebbi
- Marriage & Family Therapist
- North Hollywood, CA
National Provider Identifier
1306317102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 76571
- Practice address
- 11631 Victory Blvd Ste 203
North Hollywood, CA 91606-3572 - Phone
- (818) 908-3855
- Fax
- (818) 753-5265
- NPI assigned
- Dec 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Marriage & Family Therapist | 106H00000X | 76571 | CA | Primary |
Addresses
Primary practice location
11631 Victory Blvd Ste 203
North Hollywood, CA 91606-3572
Mailing address
22817 Ventura Blvd # 401
Woodland Hills, CA 91364-1202
Phone (310) 210-5925
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
| License | State | Type | Specialty |
|---|---|---|---|
| 76571 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Fernando Valley Community Mental Health Center, Inc. | Past | Accepting new patients | |
| San Fernando Valley Community Mental Health Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Van Nuys, CA
- NPI 1164427316
-
- Psychiatry Physician
- North Hollywood, CA
- NPI 1912037060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1306317102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22817 VENTURA BLVD # 401",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641202",
"telephone_number": "310-210-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11631 VICTORY BLVD STE 203",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063572",
"telephone_number": "818-908-3855",
"fax_number": "818-753-5265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHEBBI",
"first_name": "GOLNAZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "76571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.