Individual provider Active NPI

Caitlyn Dale Budd, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1588213722
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105799 Issued in CA
Practice address
444 N Larchmont Blvd Ste 105
Los Angeles, CA 90004-3030
Phone
(818) 835-1436
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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 105799 CA Primary

Addresses

Primary practice location

444 N Larchmont Blvd Ste 105
Los Angeles, CA 90004-3030

Mailing address

444 N Larchmont Blvd Ste 105
Los Angeles, CA 90004-3030

Other practice location 1

1687 Erringer Rd Ste 106
Simi Valley, CA 93065-6509
Phone (818) 835-1436

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

State licenses

LicenseStateTypeSpecialty
105799CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1588213722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N LARCHMONT BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N LARCHMONT BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043030",
            "telephone_number": "818-835-1436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1687 Erringer Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930656509",
            "country_code": "US",
            "telephone_number": "818-835-1436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDD",
        "first_name": "CAITLYN",
        "middle_name": "DALE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.