Individual provider Active NPI

Caitlyn Crane O'Hara, MFT

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1801034368
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC50299 Issued in CA
Practice address
10559 Jefferson Blvd Ste a
Culver City, CA 90232-3523
Phone
(310) 785-2121
NPI assigned
Jan 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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 MFC50299 CA Primary

Addresses

Primary practice location

10559 Jefferson Blvd Ste a
Culver City, CA 90232-3523

Mailing address

10549 Jefferson Blvd
Culver City, CA 90232-3513
Phone (310) 785-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC50299CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alcott Center for Mental Health Services Current Accepting new patients
Alcott Center for Mental Health Services CurrentSince Dec 27, 2015 Accepting new patients

Locations

10549 Jefferson Blvd
Culver City, CA 90232
Phone 3107852121 ext. 202

10559 Jefferson Blvd
Ste A
Culver City, CA 90232
Phone (310) 785-2121

1433 S Robertson Blvd
Los Angeles, CA 90035
Phone (310) 785-2121

Organizations & group practices 2

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": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1801034368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10549 JEFFERSON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323513",
            "telephone_number": "310-785-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10559 JEFFERSON BLVD STE A",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323523",
            "telephone_number": "310-785-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "CAITLYN",
        "middle_name": "CRANE",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC50299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.