Elyse Vrymoed

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

147027 Issued in CA

Practice address

2400 Mission St # 208
San Marino, CA 91108-1632

Phone

(626) 765-1753

NPI assigned

Jul 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elyse Jung-Vrymoed Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1629814520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94800",
            "address_2": "600 LINCOLN AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91109",
            "telephone_number": "323-435-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MISSION ST # 208",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081632",
            "telephone_number": "626-765-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRYMOED",
        "first_name": "ELYSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "147027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "JUNG-VRYMOED",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Judy Tung, MHS, PA-C
• Christine Tzeng, COTA
• Van Nuys Diagnostic Services, Inc.
• Vision Institute of Southern California a Professional Medical Corpora
• Karl Friedrich Vontiehl, M.D.
• Tricia Paige Walton
• Ai Wang
• John Ginhsun Wear
• Grace Wehbeh
• Richard Williams, MD

• Marriage & Family Therapist in San Marino, CA
• Providers in San Marino, 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 1, 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.