My Concierge Psychotherapy Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MY CONCIERGE PSYCHOTHERAPY INC

Practice address

24520 Hawthorne Blvd Ste 208
Torrance, CA 90505-6843

Phone

(310) 985-5846

NPI assigned

May 1, 2023

Organization subpart

No

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

Authorized official

Name

Shabnam Sasha Kassai

Title

Owner

Phone

(310) 985-5846

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Valeria Muradov Krocak, PSY.D.

  • Clinical Psychologist
  • Thousand Oaks, CA
  • NPI 1649619180
  NPD
• Fernanda Michelle Mayorga, LMFT

  • Marriage & Family Therapist
  • Vallejo, CA
  • NPI 1992416143
  NPD
• Nazanin Moali, M.A

  • Mental Health Counselor
  • Pasedena, CA
  • NPI 1023398625
  NPD

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1740978394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24520 HAWTHORNE BLVD STE 208",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056843",
            "telephone_number": "310-985-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24520 HAWTHORNE BLVD STE 208",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056843",
            "telephone_number": "310-985-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CONCIERGE PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "KASSAI",
        "authorized_official_first_name": "SHABNAM SASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-985-5846"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Maryam Mustafa
• Azhar Muttalib, M.D.
• Rehan Muttalib, MD
• Omoyi Guy Mvuemba
• Didi Mwengela, M.D.
• My Hearing Centers, LLC
• Serena Myatt
• Debra J. Myers, M.D.
• Lisa Ann Mylar, N.P.
• Alexis Katherine Myres, SLP

• Community/Behavioral Health Agency in Torrance, CA
• Providers in Torrance, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.