Active NPI
Katherine Merritt, AMFT
- Marriage & Family Therapist
- Beverly Hills, CA
National Provider Identifier
1861093403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT117735
- Practice address
- 9350 Wilshire Blvd Ste 212
Beverly Hills, CA 90212-3204 - Phone
- (310) 271-2275
- NPI assigned
- Nov 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 | AMFT117735 | CA | Primary |
Addresses
Primary practice location
9350 Wilshire Blvd Ste 212
Beverly Hills, CA 90212-3204
Mailing address
4223 Rosario Rd
Woodland Hills, CA 91364-6028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131829 | CA | MD | Clinical Social Worker |
| AMFT117735 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paula E. Bruce, PH.D. & Associates, a Psychological Corporation | Current | Accepting new patients |
Locations
9350 Wilshire Blvd
Ste 212
Beverly Hills, CA 90212
Phone (310) 271-2275
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.
-
- Clinical Psychologist
- Beverly Hills, CA
- NPI 1366962581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1861093403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4223 ROSARIO RD",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913646028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9350 WILSHIRE BLVD STE 212",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123204",
"telephone_number": "310-271-2275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "KATHERINE",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT117735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.