Nicole Mevorak

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

52895 Issued in CA

Legal business name

NICOLE MEVORAK

Practice address

11712 Moorpark St
Suite 114
Studio City, CA 91604-2154

Phone

(818) 400-7311

NPI assigned

Feb 19, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Davina Mevorak, M.S.

Title

Licensed Marriage Family Therapist

Phone

(818) 400-7311

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.

• Nicole Mevorakh

  • Marriage & Family Therapist
  • Studio City, CA
  • NPI 1477964617
  NPD (past)

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1801211404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST",
            "address_2": "SUITE 114",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042154",
            "telephone_number": "818-400-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST",
            "address_2": "SUITE 114",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042154",
            "telephone_number": "818-400-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE MEVORAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "MEVORAK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DAVINA",
        "authorized_official_title_or_position": "LICENSED MARRIAGE FAMILY THERAPIST",
        "authorized_official_telephone_number": "818-400-7311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Heaven Acupuncture Clinic Inc
• New Wave Therapy Inc
• Jenny Nguyen
• Phuong Nha Nguyen, PHARMD
• Pamela Nicely, PH.D.
• Niles Physical Therapy Inc
• Gail Niles, P.T.
• Paola Nunez
• Oak Mountain Home Health Inc
• Allison C Ochoa, BA

• Marriage & Family Therapist in Studio City, CA
• Providers in Studio City, 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 19, 2014; 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.