Ellie Miraftabi, PH.D., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC42285 Issued in CA

Practice address

18549 Roscoe Blvd
Northridge
Northridge, CA 91324-4632

Phone

(818) 654-3950

Fax

(818) 709-6435

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720204464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12086 EDDLESTON DR",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261308",
            "telephone_number": "818-307-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18549 ROSCOE BLVD",
            "address_2": "NORTHRIDGE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244632",
            "telephone_number": "818-654-3950",
            "fax_number": "818-709-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAFTABI",
        "first_name": "ELLIE",
        "name_prefix": "Dr.",
        "credential": "PH.D., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Northridge, CA
• Providers in Northridge, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.