Individual provider Active NPI

Jaclyn Rabinowitz

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1588317796
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
82961 Issued in CA
Practice address
5780 Melrose Avenue
Unit 3640
Los Angeles, CA 90038
Phone
(323) 327-3327
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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 82961 CA Primary

Addresses

Primary practice location

5780 Melrose Avenue
Unit 3640
Los Angeles, CA 90038

Mailing address

5780 Melrose Avenue
Unit 3640
Los Angeles, CA 90038
Phone (323) 327-3327

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

State licenses

LicenseStateTypeSpecialty
82961CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1588317796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 MELROSE AVENUE",
            "address_2": "UNIT 3640",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90038",
            "telephone_number": "323-327-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 MELROSE AVENUE",
            "address_2": "UNIT 3640",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90038",
            "telephone_number": "323-327-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABINOWITZ",
        "first_name": "JACLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "82961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.