Active NPI
Daniel Rozdial, LMFT
- Marriage & Family Therapist
- Simi Valley, CA
National Provider Identifier
1497086920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 48037
- Practice address
- 3695 Alamo St
Suite 200
Simi Valley, CA 93063-2188 - Phone
- (818) 676-1540
- Fax
- (818) 676-1542
- NPI assigned
- Jan 22, 2010
- 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 | 48037 | CA | Primary |
Addresses
Primary practice location
3695 Alamo St
Suite 200
Simi Valley, CA 93063-2188
Mailing address
1830 Rory LN
Unit 04
Simi Valley, CA 93063-4366
Phone (818) 676-1540
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 |
|---|---|---|---|
| 48037 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268352000000",
"number": "1497086920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 RORY LN",
"address_2": "UNIT 04",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930634366",
"telephone_number": "818-676-1540",
"fax_number": "818-676-1542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3695 ALAMO ST",
"address_2": "SUITE 200",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930632188",
"telephone_number": "818-676-1540",
"fax_number": "818-676-1542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZDIAL",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-22",
"last_updated": "2010-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "48037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.