Individual provider Active NPI

Nihal N Makhyoun, M.S.,LMFT

  • Psychologist
  • Canyon Country, CA
National Provider Identifier
1922179092
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
31474 Issued in CA
Practice address
29326 Hidden Oak PL
Canyon Country, CA 91387-5906
Phone
(661) 209-6970
Fax
(661) 251-7470
NPI assigned
Nov 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 41005 CA
Psychologist 103T00000X 31474 CA Primary

Addresses

Primary practice location

29326 Hidden Oak PL
Canyon Country, CA 91387-5906

Mailing address

16654 Soledad Canyon Rd
Suite 324
Canyon Country, CA 91387-3217
Phone (661) 209-6970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200513001682 CA Practitioner - Clinical Psychologist 7315378015 Practice locations: Canyon Country, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC 41005CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nihal Makhyoun, PHD, MFT, Apa Marriage & Family Therapist Past Accepting new patients

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": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1922179092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16654 SOLEDAD CANYON RD",
            "address_2": "SUITE 324",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873217",
            "telephone_number": "661-209-6970",
            "fax_number": "661-251-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29326 HIDDEN OAK PL",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913875906",
            "telephone_number": "661-209-6970",
            "fax_number": "661-251-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKHYOUN",
        "first_name": "NIHAL",
        "middle_name": "N",
        "credential": "M.S.,LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41005",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "31474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

Verify at the official NPI Registry.