Individual provider Active NPI

Mania Hekmati, MFT, PSYD

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1639100654
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39373 Issued in CA
Practice address
11805 Mayfield Ave Apt 102
Los Angeles, CA 90049-5748
Phone
(310) 487-1357
Fax
(855) 540-4054
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 39373 CA
Marriage & Family Therapist 106H00000X MFC39373 CA Primary

Addresses

Primary practice location

11805 Mayfield Ave Apt 102
Los Angeles, CA 90049-5748

Mailing address

11805 Mayfield Ave Apt 102
Los Angeles, CA 90049-5748
Phone (310) 487-1357

Other practice location 1

11805 Mayfield Ave Apt 102
Los Angeles, CA 90049-5748
Phone (310) 487-1357

Other practice location 2

9201 W Sunset Blvd
Suite # 718
West Hollywood, CA 90069-3701
Phone (310) 487-1357

Other identifiers 1

IdentifierTypeStateIssuer
MFC39373OtherCACA LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC39373CAMDMarriage & Family Therapist
39373CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1639100654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 MAYFIELD AVE APT 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495748",
            "telephone_number": "310-487-1357",
            "fax_number": "855-540-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 MAYFIELD AVE APT 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495748",
            "telephone_number": "310-487-1357",
            "fax_number": "855-540-4054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11805 Mayfield Ave Apt 102",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900495748",
            "country_code": "US",
            "telephone_number": "310-487-1357",
            "fax_number": "855-540-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9201 W Sunset Blvd",
            "address_2": "SUITE # 718",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900693701",
            "country_code": "US",
            "telephone_number": "310-487-1357",
            "fax_number": "310-826-1163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEKMATI",
        "first_name": "MANIA",
        "credential": "MFT, PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "39373",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENCE",
            "identifier": "MFC39373",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.