Active NPI
Monica Farassat Kadkhoda, M.A.
- Marriage & Family Therapist
- Santa Monica, CA
National Provider Identifier
1700070836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC24491
- Practice address
- 3201 Wilshire Blvd
Suite 201
Santa Monica, CA 90403-2344 - Phone
- (310) 453-7010
- Fax
- (310) 829-7868
- NPI assigned
- Aug 31, 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 | MFC24491 | CA | Primary |
Addresses
Primary practice location
3201 Wilshire Blvd
Suite 201
Santa Monica, CA 90403-2344
Mailing address
3201 Wilshire Blvd
Suite 201
Santa Monica, CA 90403-2344
Phone (310) 453-7010
Other names 1
- Mrs. Monica Farassat
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC24491 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1700070836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 WILSHIRE BLVD",
"address_2": "SUITE 201",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904032344",
"telephone_number": "310-453-7010",
"fax_number": "310-829-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 WILSHIRE BLVD",
"address_2": "SUITE 201",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904032344",
"telephone_number": "310-453-7010",
"fax_number": "310-829-7868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADKHODA",
"first_name": "MONICA",
"middle_name": "FARASSAT",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC24491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "FARASSAT",
"prefix": "MRS.",
"credential": "PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.