Active NPI
Colmmunity Behavioral Health Research Foundation
- Marriage & Family Therapist
- Palmdale, CA
National Provider Identifier
1477817641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- COLMMUNITY BEHAVIORAL HEALTH RESEARCH FOUNDATION
- Practice address
- 2432 Carolyn Dr
Palmdale, CA 93551-5444 - Phone
- (310) 567-9389
- NPI assigned
- Jul 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohammad Reza Emami, M.S.
- Title
- Chief Executive Officer
- Phone
- (310) 567-9389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
2432 Carolyn Dr
Palmdale, CA 93551-5444
Mailing address
2432 Carolyn Dr
Palmdale, CA 93551-5444
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Palmdale, CA
- NPI 1093078263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341187200000",
"number": "1477817641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 CAROLYN DR",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935515444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2432 CAROLYN DR",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935515444",
"telephone_number": "310-567-9389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLMMUNITY BEHAVIORAL HEALTH RESEARCH FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-02",
"last_updated": "2012-07-02",
"status": "A",
"authorized_official_last_name": "EMAMI",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "REZA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "310-567-9389",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.