Active NPI
Molly Renee Lyda, M.A.
- Marriage & Family Therapist
- Sherman Oaks, CA
National Provider Identifier
1679777502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 51060
- Practice address
- 14140 Ventura Blvd Ste 206
Sherman Oaks, CA 91423-2750 - Phone
- (818) 671-8953
- NPI assigned
- Jun 13, 2007
- 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 | 51060 | CA | Primary |
Addresses
Primary practice location
14140 Ventura Blvd Ste 206
Sherman Oaks, CA 91423-2750
Mailing address
4335 Van Nuys Blvd # 172
Sherman Oaks, CA 91403-3727
Phone (818) 671-8953
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51060 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679777502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4335 VAN NUYS BLVD # 172",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033727",
"telephone_number": "818-671-8953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14140 VENTURA BLVD STE 206",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232750",
"telephone_number": "818-671-8953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYDA",
"first_name": "MOLLY",
"middle_name": "RENEE",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.