Organization Active NPI

Marriage Family Therapy Institute of Southern California

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1700223807
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
51270 Issued in CA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.