Jiva Mental Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JIVA MENTAL HEALTH

Practice address

4236 Overland Ave
Culver City, CA 90230-3736

Phone

(424) 265-9943

NPI assigned

Mar 1, 2024

Last updated

Mar 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ektha AggarwalNPI 1831353986

Title

Founder

Phone

(424) 265-9943

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ektha Aggarwal

  • Clinical Social Worker
  • Culver City, CA
  • NPI 1831353986
  NPD Authorized official
• Theodora Blanchfield, AMFT

  • Marriage & Family Therapist
  • Culver City, CA
  • NPI 1659066033
  NPD
• Jillian Sara Smith, LMFT

  • Marriage & Family Therapist
  • Culver City, CA
  • NPI 1992489512
  NPD (past)

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1699532127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 SAWTELLE BLVD APT 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661608",
            "telephone_number": "424-265-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 OVERLAND AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902303736",
            "telephone_number": "424-265-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIVA MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "EKTHA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "424-265-9943"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus R Muro
• Madeline Jewell
• Jianghua Wang DDS Inc (Link Dental Center)
• Karen Mariel Jimenez
• Yedit Jimenez
• Sabina Johanis
• John Blanton, D.D.S. a Professional Dental Corp.
• Bethanie John, LPCC
• Christie I John, SLP
• Mena Oghenero John

• Clinical Social Worker in Culver City, CA
• Providers in Culver City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.