Individual provider Active NPI

Nava Mirakhor Ghanouni

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1417507401
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114116 Issued in CA
Practice address
9100 Wilshire Blvd Ste 844W
Beverly Hills, CA 90212-3464
Phone
(310) 666-6369
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 114116 CA Primary

Addresses

Primary practice location

9100 Wilshire Blvd Ste 844W
Beverly Hills, CA 90212-3464

Mailing address

9049 Alcott St Unit 205
Los Angeles, CA 90035-3490
Phone (310) 666-6369

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

LicenseStateTypeSpecialty
114116CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1417507401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9049 ALCOTT ST UNIT 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353490",
            "telephone_number": "310-666-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 844W",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123464",
            "telephone_number": "310-666-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANOUNI",
        "first_name": "NAVA",
        "middle_name": "MIRAKHOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.