Elyse Corman LMFT, a Licensed Marriage and Family Therapy Corporation

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ELYSE CORMAN LMFT, A LICENSED MARRIAGE AND FAMILY THERAPY CORPORATION

Practice address

4768 Park Granada Ste 102
Calabasas, CA 91302-1548

Phone

(818) 317-8974

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Elyse I Corman, LMFTNPI 1093900102

Title

Ceo/President

Phone

(818) 317-8974

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elyse I Corman, MFT

  • Marriage & Family Therapist
  • Calabasas, CA
  • NPI 1093900102
  NPD Authorized official

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1801645643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5442 SALE AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4768 PARK GRANADA STE 102",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021548",
            "telephone_number": "818-317-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSE CORMAN LMFT, A LICENSED MARRIAGE AND FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "CORMAN",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-317-8974",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Calabasas, CA
• Providers in Calabasas, 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 May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.