Active NPI
Shirley L Issakhan
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1356117147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- A128788
- Practice address
- 8726 S. Sepulveda Blvd Suite D #163
Los Angeles, CA 90045 - Phone
- (323) 426-2717
- NPI assigned
- Dec 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | A128788 | CA | Primary |
Addresses
Primary practice location
8726 S. Sepulveda Blvd Suite D #163
Los Angeles, CA 90045
Mailing address
350 N Glendale Ave Ste B228
Glendale, CA 91206-3794
Phone (818) 667-6869
Other practice location 1
2232 Larch St Apt B
Alhambra, CA 91801-6509
Phone (818) 861-9242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A128788 | CA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opalite Therapy | Marriage & Family Therapist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1356117147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N GLENDALE AVE STE B228",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912063794",
"telephone_number": "818-667-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8726 S. SEPULVEDA BLVD SUITE D #163",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90045",
"telephone_number": "323-426-2717"
}
],
"practiceLocations": [
{
"address_1": "2232 Larch St Apt B",
"address_purpose": "LOCATION",
"city": "Alhambra",
"state": "CA",
"postal_code": "918016509",
"country_code": "US",
"telephone_number": "818-861-9242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISSAKHAN",
"first_name": "SHIRLEY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-01",
"last_updated": "2023-12-01",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "A128788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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, 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.