Organization Active NPI

Behnam Keyvan LMFT Inc

  • Marriage & Family Therapist
  • Woodland Hills, CA
National Provider Identifier
1306580717
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BEHNAM KEYVAN LMFT INC
Practice address
5525 Canoga Ave
Woodland Hills, CA 91367-6643
Phone
(818) 448-2753
NPI assigned
Apr 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Behnam KeyvanNPI 1972626646
Title
Owner
Phone
(818) 448-2753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

5525 Canoga Ave
Woodland Hills, CA 91367-6643

Mailing address

5525 Canoga Ave
Woodland Hills, CA 91367-6643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241010001393 CA Part B Supplier - Clinic/Group Practice 3173055514 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

21243 Ventura Blvd
Ste 203
Woodland Hills, CA 91364
Phone (661) 478-2104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1306580717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 CANOGA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 CANOGA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676643",
            "telephone_number": "818-448-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHNAM KEYVAN LMFT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "KEYVAN",
        "authorized_official_first_name": "BEHNAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-448-2753"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.