Active NPI
Caitlin Susanne Bancroft Harrison
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1851996490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 121100
- Practice address
- 109 N Avenue 56 Ste B
Los Angeles, CA 90042-4111 - Phone
- (213) 793-8223
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 121100 | CA | Primary |
Addresses
Primary practice location
109 N Avenue 56 Ste B
Los Angeles, CA 90042-4111
Mailing address
109 N Avenue 56 Ste B
Los Angeles, CA 90042-4111
Phone (213) 793-8223
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kindman.co/caitlin-harrison-amft | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 121100 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1851996490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N AVENUE 56 STE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424111",
"telephone_number": "213-793-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N AVENUE 56 STE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424111",
"telephone_number": "213-793-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "CAITLIN",
"middle_name": "SUSANNE BANCROFT",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "121100",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kindman.co/caitlin-harrison-amft",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "109 N Avenue 56 Ste B",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900424111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.