Serine Abedi

Individual provider Active NPI Marriage & Family Therapist · Glendale, CA

NPI 1346842085 · NPPES record last updated Feb 16, 2022

Key facts

NPI
1346842085
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
138 N Brand Blvd Ste 303
Glendale, CA 91203-4621
Phone
(818) 497-7470
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CA Yes

Addresses

Primary practice location

138 N Brand Blvd Ste 303
Glendale, CA 91203-4621

Mailing address

138 N Brand Blvd Ste 303
Glendale, CA 91203-4621
Phone (818) 497-7470

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 16, 2022.

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1346842085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 N BRAND BLVD STE 303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034621",
            "telephone_number": "818-497-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 N BRAND BLVD STE 303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034621",
            "telephone_number": "818-497-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEDI",
        "first_name": "SERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

All providers in Glendale, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.