Active NPI
Roni Elaine Maybin, M.A.
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1912037128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC37212
- Practice address
- 815 N El Centro Ave
Los Angeles, CA 90038-3805 - Phone
- (323) 769-7115
- NPI assigned
- Mar 6, 2007
- 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 | MFC37212 | CA | Primary |
Addresses
Primary practice location
815 N El Centro Ave
Los Angeles, CA 90038-3805
Mailing address
2319 Oak St
Apt. 5
Santa Monica, CA 90405-5154
Phone (310) 738-7371
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC37212 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1912037128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2319 OAK ST",
"address_2": "APT. 5",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904055154",
"telephone_number": "310-738-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 N EL CENTRO AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900383805",
"telephone_number": "323-769-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYBIN",
"first_name": "RONI",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC37212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.