Individual provider Active NPI

Paula Nemiroff-Polutanovich, LMFT

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1730562984
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2154 May CT
Simi Valley, CA 93063-3841
Phone
(805) 416-8037
Fax
(805) 584-6457
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 Primary

Addresses

Primary practice location

2154 May CT
Simi Valley, CA 93063-3841

Mailing address

2154 May CT
Simi Valley, CA 93063-3841
Phone (805) 416-8037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102003968 CA Practitioner - Marriage and Family Therapist 2769832765 Practice locations: Simi Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2154 May CT
Simi Valley, CA 93063-3841
Phone (805) 416-8037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1730562984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 MAY CT",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633841",
            "telephone_number": "805-416-8037",
            "fax_number": "805-584-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 MAY CT",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633841",
            "telephone_number": "805-416-8037",
            "fax_number": "805-584-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMIROFF-POLUTANOVICH",
        "first_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.