John Davies Bracken, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC35536 Issued in CA

Practice address

21000 Plummer St
Chatsworth, CA 91311-4903

Phone

(818) 882-6400

Fax

(818) 882-6404

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336213792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28626 PONDEROSA ST",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913844744",
            "telephone_number": "818-882-6400",
            "fax_number": "818-882-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 PLUMMER ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114903",
            "telephone_number": "818-882-6400",
            "fax_number": "818-882-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "JOHN",
        "middle_name": "DAVIES",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Bondarenko, RN
• Thomas Meredith Booth, LCSW
• Leslie Borodi, C E ADMINISTRATOR
• Kevin Boyd, LCSW
• Omer Sahan Boysan, D.C.
• Sima Braude, MSW
• Marlon Briggs
• Bright Universe Hospice Care Inc
• Mia Broker, BCBA
• Rose A Broll

• Marriage & Family Therapist in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.