Individual provider Active NPI

Marc B. Osadchey, LMFT

  • Marriage & Family Therapist
  • Porter Ranch, CA
National Provider Identifier
1528303948
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 52527 Issued in CA
Practice address
11145 Tampa Ave Ste 27a
Porter Ranch, CA 91326-2274
Phone
(818) 208-2022
NPI assigned
Dec 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 52527 CA Primary
Marriage & Family Therapist 106H00000X 52527 CA

Addresses

Primary practice location

11145 Tampa Ave Ste 27a
Porter Ranch, CA 91326-2274

Mailing address

19841 Crystal Ridge LN
Porter Ranch, CA 91326-3855
Phone (818) 208-2022

Other practice location 1

11239 Tampa Ave
Suite 206
Porter Ranch, CA 91326-1615
Phone (818) 452-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 17, 2025 through May 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 52527CAMDMarriage & Family Therapist
52527CAMDRehabilitation Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1528303948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19841 CRYSTAL RIDGE LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913263855",
            "telephone_number": "818-208-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11145 TAMPA AVE STE 27A",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262274",
            "telephone_number": "818-208-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11239 Tampa Ave",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Porter Ranch",
            "state": "CA",
            "postal_code": "913261615",
            "country_code": "US",
            "telephone_number": "818-452-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSADCHEY",
        "first_name": "MARC",
        "middle_name": "B.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-11",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 52527",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter Ranch, CA

Sources for this page

Verify at the official NPI Registry.