Active NPI
Donald G Demaderios, MA, MFTI, LPCCI
- Marriage & Family Therapist
- Culver City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 4760 Sepulveda Blvd
Culver City, CA 90230-4820 - Phone
- (310) 389-5230
- Fax
- (310) 398-5690
- NPI assigned
- Nov 1, 2012
- Last updated
- Feb 7, 2014
- 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 | Primary |
Addresses
Primary practice location
4760 Sepulveda Blvd
Culver City, CA 90230-4820
Mailing address
323 N Prairie Ave
Inglewood, CA 90301-4502
Phone (310) 677-7808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Marriage & Family Therapist | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
| Grow Healthcare Group PA | Marriage & Family Therapist | Current | Accepting new patients |
| Grow Healthcare Group of New Jersey PC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
3753 Howard Hughes Pkwy
Ste 200
Las Vegas, NV 89169
Phone (702) 919-6580
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
Interoperability endpoints
- donalddemaderios@tdh.allscriptsdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
Marriage & Family Therapist
-
- Mental Health Counselor
- Hoboken, NJ
- NPI 1841949328
Marriage & Family Therapist
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
Marriage & Family Therapist, PA
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1558615252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 N PRAIRIE AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014502",
"telephone_number": "310-677-7808",
"fax_number": "310-846-2139"
},
{
"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": "310-389-5230",
"fax_number": "310-398-5690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMADERIOS",
"first_name": "DONALD",
"middle_name": "G",
"credential": "MA, MFTI, LPCCI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-01",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.