Organization Active NPI

Creating Change la, Individual & Couple Marriage Counseling & Sex Ther

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1730712761
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CREATING CHANGE LA, INDIVIDUAL & COUPLE MARRIAGE COUNSELING & SEX THER
Doing business as
Creating Change LA
Practice address
337 S Beverly Dr Ste 201
Beverly Hills, CA 90212-4308
Phone
(310) 963-4216
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Natalie Finegood GoldbergNPI 1205226776
Title
Owner
Phone
(310) 963-4216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

337 S Beverly Dr Ste 201
Beverly Hills, CA 90212-4308

Mailing address

337 S Beverly Dr Ste 201
Beverly Hills, CA 90212-4308
Phone (310) 963-4216

Other names 1

  • Creating Change LA Doing business as

National Provider Directory

National Provider Directory

Locations

337 S Beverly Dr
Ste 201
Beverly Hills, CA 90212
Phone (310) 963-4216

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1730712761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 S BEVERLY DR STE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124308",
            "telephone_number": "310-963-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 S BEVERLY DR STE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124308",
            "telephone_number": "310-963-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING CHANGE LA, INDIVIDUAL & COUPLE MARRIAGE COUNSELING & SEX THER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "FINEGOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-963-4216"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creating Change LA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 18, 2020; 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.