Individual provider Active NPI

Rachel Sillman, LMFT

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1770182800
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121623 Issued in CA
Practice address
2663 Centinela Ave Unit 307
Santa Monica, CA 90405-3156
Phone
(424) 265-6758
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 121623 CA Primary

Addresses

Primary practice location

2663 Centinela Ave Unit 307
Santa Monica, CA 90405-3156

Mailing address

2663 Centinela Ave Unit 307
Santa Monica, CA 90405-3156
Phone (310) 804-7532

Other practice location 1

2309 Ca-1
#207
Hermosa Beach, CA 90254
Phone (424) 265-6758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 6, 2025 through Jan 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121623CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1770182800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2663 CENTINELA AVE UNIT 307",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053156",
            "telephone_number": "310-804-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2663 CENTINELA AVE UNIT 307",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053156",
            "telephone_number": "424-265-6758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2309 CA-1",
            "address_2": "#207",
            "address_purpose": "LOCATION",
            "city": "Hermosa Beach",
            "state": "CA",
            "postal_code": "90254",
            "country_code": "US",
            "telephone_number": "424-265-6758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILLMAN",
        "first_name": "RACHEL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.