Debra Mindlin, MFT40852

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

40852 Issued in CA

Practice address

10450 Wilshire Blvd Unit 12H
Los Angeles, CA 90024-4614

Phone

(310) 717-7415

NPI assigned

Mar 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1598128464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 WILSHIRE BLVD UNIT 12H",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244614",
            "telephone_number": "310-717-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 WILSHIRE BLVD UNIT 12H",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244614",
            "telephone_number": "310-717-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDLIN",
        "first_name": "DEBRA",
        "credential": "MFT40852",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "40852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Growth Foundation
• Mindful Growth Foundation
• Mindful Mental Wellness, P.C.
• Mindfulhealingroup Family Therapy Inc.
• Daniel Fonzari Mindlin, MD
• Mindly Health
• Mindquestpt, LLC.
• Devon Mindt
• Mindwell Recuperative Care LLC
• Mindwell Solutions Inc

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.