Individual provider Active NPI

Aliza Podwol, AMFT

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1306606546
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
145417 Issued in CA
Practice address
4521 Sherman Oaks Ave Ste 101
Sherman Oaks, CA 91403-3807
Phone
(424) 625-2142
NPI assigned
Mar 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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 145417 CA Primary

Addresses

Primary practice location

4521 Sherman Oaks Ave Ste 101
Sherman Oaks, CA 91403-3807

Mailing address

5050 Klump Ave Apt 215
North Hollywood, CA 91601-5010
Phone (708) 856-5768

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

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1306606546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 KLUMP AVE APT 215",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916015010",
            "telephone_number": "708-856-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 SHERMAN OAKS AVE STE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033807",
            "telephone_number": "424-625-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODWOL",
        "first_name": "ALIZA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.