Active NPI
Timothy John Patterson, MFT
- Marriage & Family Therapist
- Beverly Hills, CA
National Provider Identifier
1487878351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC18513
- Practice address
- 9171 Wilshire Blvd
Ste 670 5
Beverly Hills, CA 90210 - Phone
- (310) 247-0174
- Fax
- (323) 666-4069
- NPI assigned
- Apr 12, 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 | MFC18513 | CA | Primary |
Addresses
Primary practice location
9171 Wilshire Blvd
Ste 670 5
Beverly Hills, CA 90210
Mailing address
2658 Griffith Park Blvd # 368
Los Angeles, CA 90039-2520
Phone (310) 247-0174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 18, 2024 through Apr 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC18513 | CA | MD | Marriage & Family Therapist |
| 18513 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1487878351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2658 GRIFFITH PARK BLVD # 368",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900392520",
"telephone_number": "310-247-0174",
"fax_number": "323-666-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9171 WILSHIRE BLVD",
"address_2": "STE 670 5",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90210",
"telephone_number": "310-247-0174",
"fax_number": "323-666-4069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC18513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- Vivek-Sagar Mukesh Patel, M.D.
- Laura Angelica Patino
- Patricia S. Gordon MD Professional Corp
- Patrick G. Pieper, M.D., a Medical Corporation
- Patrick Lennartz and Associates Physical Therapy Inc
- Paul Cohart, M.D., Inc
- Paul H. Crane M D Inc
- Paul J Grodan M.D. a Professional Corporation
- Paul Nassif MD Inc
- Gvanit Efua Paul, MS, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.