Individual provider Active NPI

Maral Pushian Sultanian, LMFT

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1811025323
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
47519 Issued in CA
Practice address
4955 Alta St
Simi Valley, CA 93063-2452
Phone
(805) 791-3725
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 47519 CA Primary

Addresses

Primary practice location

4955 Alta St
Simi Valley, CA 93063-2452

Mailing address

237 N Central Ave
Glendale, CA 91203-2531
Phone (818) 547-9544

Other practice location 1

1672 Casarin Ave
Simi Valley, CA 93065-4515
Phone (805) 522-4891

Other practice location 2

2136 Cutler St
Simi Valley, CA 93065-4923
Phone (805) 527-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130003319 CA Practitioner - Marriage and Family Therapist 2567991896 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
For the Future, Inc. CurrentSince Jul 4, 2021 Accepting new patients
Guiding Our Youth CurrentSince Apr 25, 2021 Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Jan 24, 2025 Accepting new patients
Guiding Our Youth CurrentSince Mar 28, 2021 Accepting new patients
Valencia Relationship Institute Marriage & Family Therapist PastSince Nov 26, 2023 Accepting new patients

Locations

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 5

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1811025323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032531",
            "telephone_number": "818-547-9544",
            "fax_number": "818-549-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 ALTA ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632452",
            "telephone_number": "805-791-3725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1672 Casarin Ave",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930654515",
            "country_code": "US",
            "telephone_number": "805-522-4891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2136 Cutler St",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930654923",
            "country_code": "US",
            "telephone_number": "805-527-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULTANIAN",
        "first_name": "MARAL",
        "middle_name": "PUSHIAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.