Organization Active NPI

Prima Materia Marriage and Family Therapy a Professional Corporation

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1629648571
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PRIMA MATERIA MARRIAGE AND FAMILY THERAPY A PROFESSIONAL CORPORATION
Practice address
790 E Santa Clara St Ste 101C
Ventura, CA 93001-2965
Phone
(818) 738-3334
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Sascha Goldhor, MFTNPI 1679014211
Title
Owner
Phone
(818) 738-3334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

790 E Santa Clara St Ste 101C
Ventura, CA 93001-2965

Mailing address

507 N Blanche St
Ojai, CA 93023-2581

National Provider Directory

National Provider Directory

Locations

790 E Santa Clara St
Ste 101C
Ventura, CA 93001
Phone (818) 738-3334

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1629648571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N BLANCHE ST",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E SANTA CLARA ST STE 101C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012965",
            "telephone_number": "818-738-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA MATERIA MARRIAGE AND FAMILY THERAPY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "GOLDHOR",
        "authorized_official_first_name": "SASCHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-738-3334",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.