Organization Active NPI

Sharis Ayazjoo, MFT, Marriage & Family Therapy, Inc.

  • Marriage & Family Therapist
  • Tarzana, CA
National Provider Identifier
1588199525
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98677 Issued in CA
Legal business name
SHARIS AYAZJOO, MFT, MARRIAGE & FAMILY THERAPY, INC.
Practice address
18425 Burbank Blvd
Suite #613
Tarzana, CA 91356-2806
Phone
(818) 726-6738
NPI assigned
Apr 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Sharis Ayazjoo, LMFT, M.S.NPI 1841725876
Title
President
Phone
(818) 726-6738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 98677 CA Primary

Addresses

Primary practice location

18425 Burbank Blvd
Suite #613
Tarzana, CA 91356-2806

Mailing address

3030 Emerald Isle Dr
Glendale, CA 91206-1010
Phone (818) 726-6738

National Provider Directory

National Provider Directory

Locations

18425 Burbank Blvd
Ste 613
Tarzana, CA 91356
Phone (818) 726-6738

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1588199525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 EMERALD ISLE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061010",
            "telephone_number": "818-726-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE #613",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-726-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARIS AYAZJOO, MFT, MARRIAGE & FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "AYAZJOO",
        "authorized_official_first_name": "SHARIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-726-6738",
        "authorized_official_credential": "LMFT, M.S."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.