Organization Active NPI

Shine Psychotherapy

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1336747583
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SHINE PSYCHOTHERAPY
Practice address
6310 San Vicente Blvd Ste 425
Los Angeles, CA 90048-5446
Phone
(310) 626-4427
NPI assigned
Oct 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Ms. Gila Brown, LMFTNPI 1770953119
Title
Owner
Phone
(310) 497-7461

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

6310 San Vicente Blvd Ste 425
Los Angeles, CA 90048-5446

Mailing address

6310 San Vicente Blvd Ste 425
Los Angeles, CA 90048-5446
Phone (310) 497-7461

Other names 1

  • Gila Lehavi Brown Former legal business name

National Provider Directory

National Provider Directory

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": "1602288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1336747583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485446",
            "telephone_number": "310-497-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485446",
            "telephone_number": "310-626-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-10",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-497-7461",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gila Lehavi Brown",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Gila Lehavi Brown",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.