Traci Gunn, Marriage and Family Therapy Corporation

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

89093 Issued in CA

Legal business name

TRACI GUNN, MARRIAGE AND FAMILY THERAPY CORPORATION

Practice address

10649 Riverside Dr
Toluca Lake, CA 91602-2341

Phone

(818) 405-0100

NPI assigned

Aug 5, 2016

Last updated

Aug 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Traci Ann Gunn, LMFTNPI 1235682949

Title

Ceo/Owner

Phone

(818) 405-0100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Traci Gunn, LMFT

  • Marriage & Family Therapist
  • Toluca Lake, CA
  • NPI 1235682949
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1932653110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10649 RIVERSIDE DR",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022341",
            "telephone_number": "818-405-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10649 RIVERSIDE DR",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022341",
            "telephone_number": "818-405-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACI GUNN, MARRIAGE AND FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-405-0100",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "89093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toluca Lake Medical Center Inc
• Toluca Lake Medical Clinic Inc
• Toluca Lake Medical Management
• Toluca Lake Medical Supply Inc
• Toluca Medical Group PC
• Universal Surgery Center, L.L.C.
• Ryan Varon, LMFT
• Vartan Tachdjian, MD Inc.
• Richard Villasenor, M.D.
• Vista Center for Counseling and Psychotherapy

• Marriage & Family Therapist in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.