NPIMap

Organization Active NPI

Prospect Family Therapy, a Professional Corporation

Doing business as Prospect Therapy

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1770125601
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PROSPECT FAMILY THERAPY, A PROFESSIONAL CORPORATION
Doing business as
Prospect Therapy
Practice address
4510 E Pacific Coast Hwy Ste 540
Long Beach, CA 90804-6941
Phone
(562) 704-4736
NPI assigned
Oct 11, 2019
Last updated
Jan 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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

Authorized official

Name
Sara Stanizai, LMFTNPI 1124340005
Title
Owner
Phone
(562) 704-4736

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4510 E Pacific Coast Hwy Ste 540
Long Beach, CA 90804-6941

Mailing address

4510 E Pacific Coast Hwy Ste 540
Long Beach, CA 90804-6941
Phone (562) 704-4736

Other names 1

  • Prospect Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

4510 E Pacific Coast Hwy
Ste 540
Long Beach, CA 90804
Phone (562) 704-4736

6621 E Pacific Coast Hwy
Long Beach, CA 90803
Phone (562) 270-6344

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706400000000",
    "number": "1770125601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY STE 540",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908046941",
            "telephone_number": "562-704-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY STE 540",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908046941",
            "telephone_number": "562-704-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT FAMILY THERAPY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A",
        "authorized_official_last_name": "STANIZAI",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-704-4736",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prospect Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prospect Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; 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.