Individual provider Active NPI

Katerina Ryndenkova

  • Marriage & Family Therapist
  • West Hollywood, CA
National Provider Identifier
1740934108
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
7377 Santa Monica Blvd
West Hollywood, CA 90046-6620
Phone
(323) 851-8202
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

7377 Santa Monica Blvd
West Hollywood, CA 90046-6620

Mailing address

420 N Palm Dr Apt 402
Beverly Hills, CA 90210-4055
Phone (310) 592-1454

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
I20240221000208 CA Practitioner - Marriage and Family Therapist 4385088103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Service of Los AngelesGroup PAC ID 8224020805, 11 clinicians

Practice addresses (Care Compare)

12821 Victory Blvd
North Hollywood, CA 91606-3012
Phone (818) 984-1380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Los Angeles CurrentSince Jan 7, 2024 Accepting new patients

Locations

330 N Fairfax Ave
Los Angeles, CA 90036
Phone (323) 937-5900

12821 Victory Blvd
North Hollywood, CA 91606
Phone (818) 432-5025

7377 Santa Monica Blvd
West Hollywood, CA 90046
Phone (323) 851-8202

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1740934108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N PALM DR APT 402",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104055",
            "telephone_number": "310-592-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7377 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466620",
            "telephone_number": "323-851-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNDENKOVA",
        "first_name": "KATERINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.