Active NPI
Bryan Goldberg
- Marriage & Family Therapist
- Van Nuys, CA
National Provider Identifier
1407106677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 14545 Sherman Circle
Van Nuys, CA 91405 - Phone
- (818) 901-4854
- Fax
- (818) 908-4995
- NPI assigned
- Sep 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
14545 Sherman Circle
Van Nuys, CA 91405
Mailing address
14545 Sherman Circle
Van Nuys, CA 91405
Phone (818) 901-4854
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1407106677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14545 SHERMAN CIRCLE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91405",
"telephone_number": "818-901-4854",
"fax_number": "818-908-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14545 SHERMAN CIRCLE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91405",
"telephone_number": "818-901-4854",
"fax_number": "818-908-4995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "BRYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-14",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.