Active NPI
Clover Family Therapy, Inc.
- Marriage & Family Therapist
- Van Nuys, CA
National Provider Identifier
1679390207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- CLOVER FAMILY THERAPY, INC.
- Doing business as
- Clover Mental Health
- Practice address
- 7604 N Patriot Way
Van Nuys, CA 91405-5647 - Phone
- (310) 425-3729
- NPI assigned
- Sep 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Janine E Doolan, MA., LMFT.
- Title
- Ceo
- Phone
- (310) 425-3729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
7604 N Patriot Way
Van Nuys, CA 91405-5647
Mailing address
9531 Santa Monica Blvd Ste 1020
Beverly Hills, CA 90210-4503
Phone (310) 498-4084
Other names 1
- Clover Mental Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1679390207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9531 SANTA MONICA BLVD STE 1020",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104503",
"telephone_number": "310-498-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7604 N PATRIOT WAY",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914055647",
"telephone_number": "310-425-3729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLOVER FAMILY THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "DOOLAN",
"authorized_official_first_name": "JANINE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-425-3729",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MA., LMFT."
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clover Mental Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.