Individual provider Active NPI

Phyllis Ann Holland, LMFT

  • Marriage & Family Therapist
  • Culver City, CA
National Provider Identifier
1811570161
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120218 Issued in CA
Practice address
11825 Major St Ste 207
Culver City, CA 90230-6356
Phone
(323) 271-1600
Fax
(323) 580-3383
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 120218 CA Primary

Addresses

Primary practice location

11825 Major St Ste 207
Culver City, CA 90230-6356

Mailing address

11825 Major St Ste 207
Culver City, CA 90230-6356
Phone (323) 271-1600

Other practice location 1

11825 Major St Ste 106
Culver City, CA 90230-6356
Phone (323) 271-1600

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
120218CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Me Psychotherapy, Inc. CurrentSince May 9, 2021 Accepting new patients

Locations

11825 Major St
Ste 106
Culver City, CA 90230
Phone (323) 271-1600

11825 Major St
Ste 207
Culver City, CA 90230
Phone (323) 271-1600

Organizations & group practices 1

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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1811570161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 MAJOR ST STE 207",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306356",
            "telephone_number": "323-271-1600",
            "fax_number": "323-580-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 MAJOR ST STE 207",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306356",
            "telephone_number": "323-271-1600",
            "fax_number": "323-580-3383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11825 Major St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902306356",
            "country_code": "US",
            "telephone_number": "323-271-1600",
            "fax_number": "323-580-3383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120218",
            "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 May 4, 2021; 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.