Brandon Mansouri Marriage & Family Therapist, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BRANDON MANSOURI MARRIAGE & FAMILY THERAPIST, INC.

Practice address

4344 Latham St Ste 110
Riverside, CA 92501-1773

Phone

(716) 259-2779

NPI assigned

Jul 16, 2021

Last updated

Jul 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandy Mansouri

Title

Owner

Phone

(716) 259-2779

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon Michelle Laleh Mansouri, M.S.

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1225156003
  NPD

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1598337677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 LATHAM ST STE 110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011773",
            "telephone_number": "716-259-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 LATHAM ST STE 110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011773",
            "telephone_number": "716-259-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON MANSOURI MARRIAGE & FAMILY THERAPIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "MANSOURI",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-259-2779"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Juliana Bramel, MFT
• John David Branch, DO
• Jeffrey Jon Brand, MD
• Savannah Marie Brandenburger
• John Brandom
• Antonius D Brandon, PHD
• K'la Brandon
• Mary Brantley
• Barbara Parvinder Brar, MD
• Bobby Karandeep Singh Brar

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, 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 Jul 16, 2021; 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.