Individual provider Active NPI

Adriaan J Van Zyl, AMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1710677539
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
139409 Issued in CA
Practice address
1576 Munson Ave
Los Angeles, CA 90042-1627
Phone
(646) 267-2496
NPI assigned
May 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 139409 CA Primary
Psychologist 103T00000X 139409 CA
Counseling Psychologist 103TC1900X 139409 CA

Addresses

Primary practice location

1576 Munson Ave
Los Angeles, CA 90042-1627

Mailing address

2355 Westwood Blvd Ste 309
Los Angeles, CA 90064-2109
Phone (646) 267-2496

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
139409CAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1710677539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 WESTWOOD BLVD STE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642109",
            "telephone_number": "646-267-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MUNSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421627",
            "telephone_number": "646-267-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ZYL",
        "first_name": "ADRIAAN",
        "middle_name": "J",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139409",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "139409",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "139409",
            "primary": false
        }
    ],
    "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 May 15, 2023; 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.