California Individual & Family Counseling Collective Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CALIFORNIA INDIVIDUAL & FAMILY COUNSELING COLLECTIVE INC.

Practice address

4001 W Alameda Ave Ste 205
Burbank, CA 91505-4338

Phone

(805) 455-1614

NPI assigned

Oct 13, 2019

Organization subpart

No

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

Authorized official

Name

Ross PhillipsNPI 1609514272

Title

President

Phone

(805) 455-1614

Specialties & licenses 1

Addresses

Other names 1

• Ross Phillips Therapy Doing business as

Locations

Practitioners 1

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

• Ross Phillips, LMFT

  • Marriage & Family Therapist
  • Newport Beach, CA
  • NPI 1609514272
  NPD Authorized official

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570924800000",
    "number": "1467094250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 SHADY COVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W ALAMEDA AVE STE 205",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054338",
            "telephone_number": "805-455-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA INDIVIDUAL & FAMILY COUNSELING COLLECTIVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-13",
        "last_updated": "2019-10-13",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-455-1614"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ross Phillips Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Burbank, CA
• Providers in Burbank, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.