Individual provider Active NPI

Ronald David Korn, MFT

  • Marriage & Family Therapist
  • North Hollywood, CA
National Provider Identifier
1538190855
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 20172 Issued in CA
Practice address
6442 Coldwater Canyon Ave
Suite 109
North Hollywood, CA 91606-1137
Phone
(818) 991-5166
Fax
(818) 763-6553
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT 20172 CA Primary

Addresses

Primary practice location

6442 Coldwater Canyon Ave
Suite 109
North Hollywood, CA 91606-1137

Mailing address

6442 Coldwater Canyon Ave
Suite 109
North Hollywood, CA 91606-1137
Phone (818) 991-5166

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

LicenseStateTypeSpecialty
MFT 20172CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538190855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 COLDWATER CANYON AVE",
            "address_2": "SUITE 109",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061137",
            "telephone_number": "818-991-5166",
            "fax_number": "818-763-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6442 COLDWATER CANYON AVE",
            "address_2": "SUITE 109",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061137",
            "telephone_number": "818-991-5166",
            "fax_number": "818-763-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORN",
        "first_name": "RONALD",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 20172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, 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.

Verify at the official NPI Registry.