Individual provider Active NPI

Gudrun Anja Stadelmann Wright, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1710447545
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106997 Issued in CA
Practice address
2271 Bronson Hill Dr
Los Angeles, CA 90068-2407
Phone
(323) 790-6795
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 106997 CA Primary

Addresses

Primary practice location

2271 Bronson Hill Dr
Los Angeles, CA 90068-2407

Mailing address

2271 Bronson Hill Dr
Los Angeles, CA 90068-2407
Phone (323) 790-6795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106997CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1710447545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 BRONSON HILL DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682407",
            "telephone_number": "323-790-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 BRONSON HILL DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682407",
            "telephone_number": "323-790-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADELMANN WRIGHT",
        "first_name": "GUDRUN",
        "middle_name": "ANJA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.