NPIMap

Organization Active NPI

Goldentherapycenter

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1811360258
Registry record updated Nov 6, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
41247 Issued in CA
Legal business name
GOLDENTHERAPYCENTER
Practice address
15300 Ventura Blvd
Suite 509
Sherman Oaks, CA 91403-3103
Phone
(818) 638-1255
NPI assigned
Nov 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Katy Golbar Ellsweig, M.F.T.
Title
Owner
Phone
(818) 638-1255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 41247 CA Primary

Addresses

Primary practice location

15300 Ventura Blvd
Suite 509
Sherman Oaks, CA 91403-3103

Mailing address

15300 Ventura Blvd
Suite 509
Sherman Oaks, CA 91403-3103
Phone (818) 638-1255

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1811360258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD",
            "address_2": "SUITE 509",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033103",
            "telephone_number": "818-638-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 VENTURA BLVD",
            "address_2": "SUITE 509",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033103",
            "telephone_number": "818-638-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENTHERAPYCENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "ELLSWEIG",
        "authorized_official_first_name": "KATY",
        "authorized_official_middle_name": "GOLBAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-638-1255",
        "authorized_official_credential": "M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.