Cole J Marta MD Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

COLE J MARTA MD INC

Doing business as

California Center for Psychedelic Therapy

Practice address

522 N Larchmont Blvd
Los Angeles, CA 90004-1306

Phone

(213) 444-5309

Fax

(213) 608-0121

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Cole Marta, MDNPI 1689947251

Title

Medical Director

Phone

(818) 815-1237

Specialties & licenses 1

Addresses

Other names 1

• California Center for Psychedelic Therapy Doing business as

Practitioners 1

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

• Cole Marta, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1689947251
  NPD Authorized official

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1609636372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041306",
            "telephone_number": "213-444-5309",
            "fax_number": "213-608-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041306",
            "telephone_number": "213-444-5309",
            "fax_number": "213-608-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE J MARTA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "MARTA",
        "authorized_official_first_name": "COLE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-815-1237",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Center for Psychedelic Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Colbert
• Melissa Colbourne
• Brandon Ross Colby, M.D.
• Filandra Colby, ASW #106051
• Geoffrey P. Colby, M.D., PH.D.
• Cole Vision Corporation
• Ajima Cole
• Andrew Cole, BOCCTHY
• Chelsea Cole, AU.D.
• Christie A Cole, BIRTH DOULA

• Adult Mental Health Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.