Organization Active NPI

Sandra P Bravo Psychotherapy Inc

  • Marriage & Family Therapist
  • Burbank, CA
National Provider Identifier
1831753409
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SANDRA P BRAVO PSYCHOTHERAPY INC
Practice address
4405 W Riverside Dr Ste 205
Burbank, CA 91505-4050
Phone
(818) 854-0735
NPI assigned
Apr 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Sandra Piker Bravo, LMFT
Title
President
Phone
(818) 926-4032

Specialties & licenses 1

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

Addresses

Primary practice location

4405 W Riverside Dr Ste 205
Burbank, CA 91505-4050

Mailing address

208 S Louise St
Glendale, CA 91205-1637
Phone (818) 854-0735

National Provider Directory

National Provider Directory

Locations

208 S Louise St
Glendale, CA 91205
Phone (626) 229-9055

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1831753409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S LOUISE ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051637",
            "telephone_number": "818-854-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR STE 205",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054050",
            "telephone_number": "818-854-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA P BRAVO PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "PIKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-926-4032",
        "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": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.