Individual provider Active NPI

Tamala Black, LMFT#115219

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1801326731
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
115219 Issued in CA
Practice address
6695 Green Valley Cir Unit 2282
Culver City, CA 90230-7024
Phone
(424) 209-8052
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 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 Therapist 106H00000X 115219 CA Primary

Addresses

Primary practice location

6695 Green Valley Cir Unit 2282
Culver City, CA 90230-7024

Mailing address

PO Box 2822
Culver City, CA 90231-2822
Phone (424) 209-8052

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
115219CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Tamala Black and Associates CurrentSince Dec 28, 2022 Accepting new patients
Dr. Tamala Black and Associates Marriage & Family Therapist CurrentSince Nov 6, 2022 Accepting new patients
Asian American Drug Abuse Program, Inc Past Accepting new patients
Asian American Drug Abuse Program, Inc Past Accepting new patients

Organizations & group practices 4

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1801326731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2822",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902312822",
            "telephone_number": "424-209-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 GREEN VALLEY CIR UNIT 2282",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307024",
            "telephone_number": "424-209-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "TAMALA",
        "name_prefix": "Dr.",
        "credential": "LMFT#115219",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115219",
            "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 9, 2022; 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.