Active NPI
Marla Diana Ben-Tov, LMFT, REAT
- Marriage & Family Therapist
- North Hollywood, CA
National Provider Identifier
1629255864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC52451
- Practice address
- 6736 Laurel Canyon Blvd
Suite 200
North Hollywood, CA 91606-1538 - Phone
- (818) 755-8786
- NPI assigned
- Jan 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC52451 | CA | Primary |
Addresses
Primary practice location
6736 Laurel Canyon Blvd
Suite 200
North Hollywood, CA 91606-1538
Mailing address
3808 Surfwood Rd
Malibu, CA 90265-5657
Phone (707) 481-0005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC52451 | CA | MD | Marriage & Family Therapist |
| 52451 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soultenders, Inc. | Current | Accepting new patients | |
| Soultenders Psychological Services, Inc. | Current | Accepting new patients |
Locations
41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249
555 Marin St
Ste 180
Thousand Oaks, CA 91360
Phone (626) 701-4249
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Arcadia, CA
- NPI 1164617007
-
- Clinical Social Worker
- Arcadia, CA
- NPI 1235810722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1629255864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3808 SURFWOOD RD",
"city": "MALIBU",
"state": "CA",
"postal_code": "902655657",
"telephone_number": "707-481-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6736 LAUREL CANYON BLVD",
"address_2": "SUITE 200",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916061538",
"telephone_number": "818-755-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEN-TOV",
"first_name": "MARLA",
"middle_name": "DIANA",
"credential": "LMFT, REAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC52451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.