Organization Active NPI

Orly Marmur Psychological Corp

  • Psychologist
  • Tarzana, CA
National Provider Identifier
1457712085
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY27553 Issued in CA
Legal business name
ORLY MARMUR PSYCHOLOGICAL CORP
Practice address
5361 Veloz Ave
Tarzana, CA 91356-4127
Phone
(818) 231-0008
Fax
(818) 401-9903
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Dr. Orly Marmur, PSY.DNPI 1366646085
Title
Licensed Psychologist
Phone
(818) 231-0008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY27553 CA Primary

Addresses

Primary practice location

5361 Veloz Ave
Tarzana, CA 91356-4127

Mailing address

5361 Veloz Ave
Tarzana, CA 91356-4127
Phone (818) 231-0008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160527001276 CA Part B Supplier - Clinic/Group Practice 7416247747 Receives reassigned benefits from 1 practitioner
Practice locations: Tarzana, CA

National Provider Directory

National Provider Directory

Locations

19634 Ventura Blvd
Ste 325
Tarzana, CA 91356
Phone (818) 345-2341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1457712085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5361 VELOZ AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564127",
            "telephone_number": "818-231-0008",
            "fax_number": "818-401-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5361 VELOZ AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564127",
            "telephone_number": "818-231-0008",
            "fax_number": "818-401-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLY MARMUR PSYCHOLOGICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "MARMUR",
        "authorized_official_first_name": "ORLY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-231-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.