Prysmatic Family Therapy, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PRYSMATIC FAMILY THERAPY, INC.

Practice address

1720 E Los Angeles Ave Ste 237
Simi Valley, CA 93065-5829

Phone

(818) 743-6517

NPI assigned

Feb 9, 2023

Last updated

Feb 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prisma Martinez, M.S., LMFTNPI 1124438460

Title

Owner/Director

Phone

(818) 743-6517

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Prisma Martinez, M.S., LMFT

  • Marriage & Family Therapist
  • Simi Valley, CA
  • NPI 1124438460
  NPD Authorized official

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1790482735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1716",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930621716",
            "telephone_number": "818-743-6517",
            "fax_number": "818-626-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E LOS ANGELES AVE STE 237",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655829",
            "telephone_number": "818-743-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRYSMATIC FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "PRISMA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "818-743-6517",
        "authorized_official_credential": "M.S., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.