Active NPI
Kimberly Sampson, M.S.
- Marriage & Family Therapist
- North Hollywood, CA
National Provider Identifier
1376836411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 66844
- Practice address
- 10526 Dubnoff Way
North Hollywood, CA 91606-3921 - Phone
- (818) 755-4950
- Fax
- (818) 752-0783
- NPI assigned
- May 24, 2011
- Last updated
- Mar 21, 2013
- 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 | 66844 | CA | Primary |
Addresses
Primary practice location
10526 Dubnoff Way
North Hollywood, CA 91606-3921
Mailing address
10526 Dubnoff Way
North Hollywood, CA 91606-3921
Phone (805) 750-1961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376836411 | Other | CA | MEDI-CAL |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1376836411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10526 DUBNOFF WAY",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063921",
"telephone_number": "805-750-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10526 DUBNOFF WAY",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063921",
"telephone_number": "818-755-4950",
"fax_number": "818-752-0783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPSON",
"first_name": "KIMBERLY",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "66844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "1376836411",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
- Samaritan Home Health Agency, Inc.
- Nicole Sambas, PTA
- Lauren Sara Samipur
- Jasey Samois, MA
- Bre'Asia Sample
- Jacqueline Samvelian
- San Fernando Valley Community Mental Health Center (Transitions Bassett)
- San Fernando Valley Community Mental Health Center, Inc (Sfvcmhc Youth Contact FCCS)
- San Fernando Valley Community Mental Health Center, Inc. (Sfvcmhc Evyfc)
- San Fernando Valley Community Mental Health Center, Inc. (SFVCMHC Juvenile Justice Programs)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.