Active NPI
Donna Rattner Broder, M.A.
- Marriage & Family Therapist
- Beverly Hills, CA
National Provider Identifier
1659871937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 98806
- Practice address
- 280 S Beverly Dr Ste 404
Beverly Hills, CA 90212-3904 - Phone
- (818) 850-0338
- NPI assigned
- Feb 13, 2018
- Sex
- Female
- 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 | 98806 | CA | Primary |
Addresses
Primary practice location
280 S Beverly Dr Ste 404
Beverly Hills, CA 90212-3904
Mailing address
280 S Beverly Dr Ste 404
Beverly Hills, CA 90212-3904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 25, 2024 through Mar 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98806 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1659871937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 S BEVERLY DR STE 404",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 S BEVERLY DR STE 404",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123904",
"telephone_number": "818-850-0338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODER",
"first_name": "DONNA",
"middle_name": "RATTNER",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-13",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "98806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.