Individual provider Active NPI

Bryan Patrick Hall, M.S.

  • Marriage & Family Therapist
  • Valley Village, CA
National Provider Identifier
1578828547
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
66028 Issued in CA
Practice address
5946 Radford Ave
Valley Village, CA 91607-1333
Phone
(323) 776-9428
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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 66028 CA Primary

Addresses

Primary practice location

5946 Radford Ave
Valley Village, CA 91607-1333

Mailing address

15233 Ventura Blvd
Suite 1208
Sherman Oaks, CA 91403-2201
Phone (323) 776-9428

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 Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
66028CAMDMarriage & Family Therapist
88922CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1578828547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD",
            "address_2": "SUITE 1208",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032201",
            "telephone_number": "323-776-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5946 RADFORD AVE",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071333",
            "telephone_number": "323-776-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BRYAN",
        "middle_name": "PATRICK",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "66028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.