Organization Active NPI

Clover Family Therapy, Inc.

  • Marriage & Family Therapist
  • Van Nuys, CA
National Provider Identifier
1679390207
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on Sep 24, 2024

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.