Active NPI
Marriage Family Therapy Institute of Southern California
- Marriage & Family Therapist
- Beverly Hills, CA
National Provider Identifier
1700223807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 51270
- Legal business name
- MARRIAGE FAMILY THERAPY INSTITUTE OF SOUTHERN CALIFORNIA
- Practice address
- 9171 Wilshire Blvd Ste 680
Beverly Hills, CA 90210-5542 - Phone
- (323) 801-6384
- NPI assigned
- May 29, 2013
- Last updated
- May 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Omid Shaye, MD
- Title
- Ceo
- Phone
- (323) 801-6384
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 51270 | CA | Primary |
Addresses
Primary practice location
9171 Wilshire Blvd Ste 680
Beverly Hills, CA 90210-5542
Mailing address
1171 S Robertson Blvd # 237
Los Angeles, CA 90035-1403
Phone (323) 801-6384
National Provider Directory
National Provider DirectoryLocations
9171 Wilshire Blvd
Ste 680
Beverly Hills, CA 90210
Phone (310) 277-7838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369785600000",
"number": "1700223807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1171 S ROBERTSON BLVD # 237",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351403",
"telephone_number": "323-801-6384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9171 WILSHIRE BLVD STE 680",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105542",
"telephone_number": "323-801-6384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARRIAGE FAMILY THERAPY INSTITUTE OF SOUTHERN CALIFORNIA",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-29",
"last_updated": "2013-05-29",
"status": "A",
"authorized_official_last_name": "SHAYE",
"authorized_official_first_name": "OMID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-801-6384",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.