Active NPI
Glenn Goveia, M.S.
- Marriage & Family Therapist
- Toluca Lake, CA
National Provider Identifier
1447453295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 44939
- Practice address
- 10649 Riverside Dr
Toluca Lake, CA 91602-2341 - Phone
- (323) 692-9118
- NPI assigned
- Jun 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 44939 | CA | Primary |
Addresses
Primary practice location
10649 Riverside Dr
Toluca Lake, CA 91602-2341
Mailing address
12326 Laurel Terrace Dr
Studio City, CA 91604-3610
Phone (818) 769-7030
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44939 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1447453295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12326 LAUREL TERRACE DR",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916043610",
"telephone_number": "818-769-7030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10649 RIVERSIDE DR",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916022341",
"telephone_number": "323-692-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOVEIA",
"first_name": "GLENN",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "44939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toluca Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.