Individual provider Active NPI

Kat Anne Derrig-Palumbo, PHD, MFT

  • Marriage & Family Therapist
  • Woodland Hills, CA
National Provider Identifier
1578772075
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC34807 Issued in CA
Practice address
6455 Corbin Ave
Woodland Hills, CA 91367-2802
Phone
(818) 401-0301
Fax
(818) 401-0305
NPI assigned
May 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 MFC34807 CA Primary

Addresses

Primary practice location

6455 Corbin Ave
Woodland Hills, CA 91367-2802

Mailing address

20700 Ventura Blvd
Suite 203
Woodland Hills, CA 91364-2357
Phone (818) 615-4722

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC34807CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578772075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 VENTURA BLVD",
            "address_2": "SUITE 203",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642357",
            "telephone_number": "818-615-4722",
            "fax_number": "818-401-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 CORBIN AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672802",
            "telephone_number": "818-401-0301",
            "fax_number": "818-401-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRIG-PALUMBO",
        "first_name": "KAT",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, 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.