Active NPI
Banaitis Inc.
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1346520459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 44723
- Legal business name
- BANAITIS INC.
- Practice address
- 12100 Wilshire Blvd
Suite 800
Los Angeles, CA 90025-7120 - Phone
- (310) 775-1521
- Fax
- (424) 238-8394
- NPI assigned
- Aug 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Joesph Banaitis, M.A., LMFT
- Title
- President/Program Director
- Phone
- (310) 775-1521
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-24542 | CA | |
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | LMFT 47513 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC 44723 | CA | Primary |
| Early Intervention Provider Agency | 252Y00000X | PW5642 | CA |
Addresses
Primary practice location
12100 Wilshire Blvd
Suite 800
Los Angeles, CA 90025-7120
Mailing address
12100 Wilshire Blvd
Suite 800
Los Angeles, CA 90025-7120
Phone (310) 775-1521
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493372 | Other | MHN PROVIDER ID | |
| A4793432 | Other | CA | AETNA PROVIDER PIN |
| PW5642 | Other | CA | DEPT. OF DEVELOPMENTAL SERVICES (HHS) AGENCY VENDOR NO. |
Other names 1
- Limitless Minds
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Los Angeles, CA
- NPI 1932233954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606780800000",
"number": "1346520459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12100 WILSHIRE BLVD",
"address_2": "SUITE 800",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257120",
"telephone_number": "310-775-1521",
"fax_number": "424-238-8394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12100 WILSHIRE BLVD",
"address_2": "SUITE 800",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257120",
"telephone_number": "310-775-1521",
"fax_number": "424-238-8394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANAITIS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-19",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A",
"authorized_official_last_name": "BANAITIS",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "JOESPH",
"authorized_official_title_or_position": "PRESIDENT/PROGRAM DIRECTOR",
"authorized_official_telephone_number": "310-775-1521",
"authorized_official_credential": "M.A., LMFT"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-16-24542",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT 47513",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 44723",
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "CA",
"license": "PW5642",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PROVIDER ID",
"identifier": "493372",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER PIN",
"identifier": "A4793432",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF DEVELOPMENTAL SERVICES (HHS) AGENCY VENDOR NO.",
"identifier": "PW5642",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Limitless Minds",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Limitless Minds",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.