Active NPI
Larry Mills Sheldon
- Marriage & Family Therapist
- San Fernando, CA
National Provider Identifier
1487786554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC6561
- Practice address
- 11565 Laurel Canyon Blvd
#101
San Fernando, CA 91340-4168 - Phone
- (818) 838-1352
- Fax
- (818) 838-1362
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 | MFC6561 | CA | Primary |
Addresses
Primary practice location
11565 Laurel Canyon Blvd
#101
San Fernando, CA 91340-4168
Mailing address
6626 Hesperia Ave
Reseda, CA 91335-5630
Phone (818) 881-9653
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC6561 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487786554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 HESPERIA AVE",
"city": "RESEDA",
"state": "CA",
"postal_code": "913355630",
"telephone_number": "818-881-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11565 LAUREL CANYON BLVD",
"address_2": "#101",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404168",
"telephone_number": "818-838-1352",
"fax_number": "818-838-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELDON",
"first_name": "LARRY",
"middle_name": "MILLS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC6561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.