Individual provider Active NPI

Cheryl Umali, BCBA

  • Behavior Analyst
  • Northridge, CA
National Provider Identifier
1891178869
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11313810 Issued in CA
Practice address
9010 Corbin Ave Ste 11
Northridge, CA 91324-3372
Phone
(747) 444-7731
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11313810 CA Primary

Addresses

Primary practice location

9010 Corbin Ave Ste 11
Northridge, CA 91324-3372

Mailing address

9010 Corbin Ave Ste 11
Northridge, CA 91324-3372
Phone (747) 444-7731

Other practice location 1

16600 Sherman Way Ste 165
Van Nuys, CA 91406-3733
Phone (818) 386-1094

Other practice location 2

18305 Sherman Way Ste 31
Reseda, CA 91335-4425
Phone (747) 444-7731

Other practice location 3

18305 Sherman Way Ste 31
Reseda, CA 91335-4425
Phone (747) 444-7731

Other practice location 4

22940 Schoolcraft St
West Hills, CA 91307-2553
Phone (747) 444-7731

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
11313810CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Thrive Center LLC Behavior Analyst CurrentSince Oct 1, 2020 Accepting new patients

Locations

9010 Corbin Ave
Ste 11
Northridge, CA 91324
Phone (747) 444-7731

18305 Sherman Way
Ste 31
Reseda, CA 91335
Phone (747) 444-7731

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1891178869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 CORBIN AVE STE 11",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243372",
            "telephone_number": "747-444-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 CORBIN AVE STE 11",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243372",
            "telephone_number": "747-444-7731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16600 Sherman Way Ste 165",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914063733",
            "country_code": "US",
            "telephone_number": "818-386-1094",
            "fax_number": "818-386-1182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18305 Sherman Way Ste 31",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913354425",
            "country_code": "US",
            "telephone_number": "747-444-7731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18305 Sherman Way Ste 31",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913354425",
            "country_code": "US",
            "telephone_number": "747-444-7731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22940 Schoolcraft St",
            "address_purpose": "LOCATION",
            "city": "West Hills",
            "state": "CA",
            "postal_code": "913072553",
            "country_code": "US",
            "telephone_number": "747-444-7731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMALI",
        "first_name": "CHERYL",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11313810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.