NPIMap

Organization Active NPI

Wilshire Valley Therapy Center

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1427386374
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45064 Issued in CA
Legal business name
WILSHIRE VALLEY THERAPY CENTER
Practice address
6399 Wilshire Blvd
Suite 312
Los Angeles, CA 90048-5703
Phone
(323) 651-5828
Fax
(323) 651-5836
NPI assigned
Dec 3, 2009
Last updated
Dec 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Katrina Wood
Title
Psychotherapist
Phone
(323) 651-5828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 45064 CA Primary

Addresses

Primary practice location

6399 Wilshire Blvd
Suite 312
Los Angeles, CA 90048-5703

Mailing address

6399 Wilshire Blvd
Suite 312
Los Angeles, CA 90048-5703
Phone (323) 651-5828

National Provider Directory

National Provider Directory
Tax ID family
Valley Therapy Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6399 Wilshire Blvd
Ste 312
Los Angeles, CA 90048
Phone (310) 845-6847

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1427386374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 WILSHIRE BLVD",
            "address_2": "SUITE 312",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485703",
            "telephone_number": "323-651-5828",
            "fax_number": "323-651-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 WILSHIRE BLVD",
            "address_2": "SUITE 312",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485703",
            "telephone_number": "323-651-5828",
            "fax_number": "323-651-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE VALLEY THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "323-651-5828"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45064",
            "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 3, 2009; 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.