Hyim Jacob Ross, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

84938 Issued in CA

Practice address

1500 Venice Blvd Apt 201
Venice, CA 90291

Phone

(510) 847-2611

NPI assigned

Jun 12, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1679777833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 VENICE BLVD APT 201",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902915084",
            "telephone_number": "510-847-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 VENICE BLVD APT 201",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "90291",
            "telephone_number": "510-847-2611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1291 Oakland Blvd",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945964359",
            "country_code": "US",
            "telephone_number": "925-933-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "HYIM",
        "middle_name": "JACOB",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Romo
• Norma F. Rosales, M.D.
• Daniela Verenice Rosas Cruz
• Jonathan Douglas Rose, M.D., PH.D.
• Jay Rosenthal, ACSW
• Rothman Chiropractic Corp
• Rothman Chiropractic Inc
• Sandra Lee Roy, N.D.
• Olga Ruano
• Jane L. Rubin, PSYD; LCSW 3358

• Marriage & Family Therapist in Venice, CA
• Providers in Venice, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.