Individual provider Active NPI

Mary Nairi Tovmasian

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1558023309
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT124800 Issued in CA
Practice address
4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone
(310) 390-6612
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 124900 CA
Marriage & Family Therapist 106H00000X 124800 CA
Marriage & Family Therapist 106H00000X AMFT124800 CA Primary

Addresses

Primary practice location

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Mailing address

PO Box 9194
North Hollywood, CA 91609-1194
Phone (661) 272-9996

Other practice location 1

4521 Sherman Oaks Ave Ste 101
Sherman Oaks, CA 91403-3807
Phone (424) 732-1125

Other practice location 2

5000 Parkway Calabasas Ste 110
Calabasas, CA 91302-2552
Phone (424) 261-9444

Other practice location 3

525 W Avenue P4
Palmdale, CA 93551-3743
Phone (661) 272-9996

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL www.simplepractice.com Sherman Oaks Therapy
CONNECT URL www.simplepractice.com HILLSIDE WELLNESS CENTER
CONNECT URL Exym

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
124800CAMDMarriage & Family Therapist
124900CAMDMarriage & Family Therapist
AMFT124800CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All for Kids Organization CurrentSince Feb 1, 2024 Accepting new patients

Locations

525 W Avenue P4
Palmdale, CA 93551
Phone (661) 223-3880

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1558023309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9194",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916091194",
            "telephone_number": "661-272-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304820",
            "telephone_number": "310-390-6612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4521 Sherman Oaks Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914033807",
            "country_code": "US",
            "telephone_number": "424-732-1125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Parkway Calabasas Ste 110",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913022552",
            "country_code": "US",
            "telephone_number": "424-261-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 W Avenue P4",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935513743",
            "country_code": "US",
            "telephone_number": "661-272-9996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOVMASIAN",
        "first_name": "MARY",
        "middle_name": "NAIRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124900",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124800",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT124800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "Y",
            "affiliationName": "Sherman Oaks Therapy",
            "address_1": "15030 Ventura Blvd # 673",
            "city": "Sherman Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914035470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "Y",
            "affiliationName": "HILLSIDE WELLNESS CENTER",
            "address_1": "4521 Sherman Oaks Ave Ste 101",
            "city": "Sherman Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914033807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Exym",
            "affiliation": "N",
            "address_1": "4760 Sepulveda Blvd",
            "city": "Culver City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902304820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.