Active NPI
Brian Keligian, MFT
- Marriage & Family Therapist
- West Hollywood, CA
National Provider Identifier
1639471006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 48755
- Practice address
- 519 N la Cienega Blvd
Suite 16
West Hollywood, CA 90048-2007 - Phone
- (310) 384-8474
- NPI assigned
- Nov 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | MFC 48755 | CA | Primary |
Addresses
Primary practice location
519 N la Cienega Blvd
Suite 16
West Hollywood, CA 90048-2007
Mailing address
3940 Laurel Canyon Blvd
Unit 972
Studio City, CA 91604
Phone (310) 384-8474
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 48755 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1639471006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 LAUREL CANYON BLVD",
"address_2": "UNIT 972",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "91604",
"telephone_number": "310-384-8474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 N LA CIENEGA BLVD",
"address_2": "SUITE 16",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900482007",
"telephone_number": "310-384-8474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELIGIAN",
"first_name": "BRIAN",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-17",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 48755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.