Sarah H Abdelmiseh

Individual provider Active NPI Marriage & Family Therapist · Los Angeles, CA

NPI 1336614031 · NPPES record last updated Apr 1, 2022

Key facts

NPI
1336614031
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
3600 Wilshire Blvd Ste 2200
Los Angeles, CA 90010-2632
Phone
(213) 382-4400
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AMFT109255CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for the Redesign of Learning Mental Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AMFT109255 CA
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

3600 Wilshire Blvd Ste 2200
Los Angeles, CA 90010-2632

Mailing address

447 N El Molino Ave
Pasadena, CA 91101-1403
Phone (626) 577-8480

Other identifiers

IdentifierTypeStateIssuer
7368OtherCAMEDI-CAL
7667OtherCAMEDI-CAL
7708OtherCAMEDI-CAL
7184OtherCAMEDI-CAL

Other providers in Los Angeles, CA

All providers in Los Angeles, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.