Individual provider Active NPI

Rima Hodaly

  • Marriage & Family Therapist
  • Northridge, CA
National Provider Identifier
1942469838
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
55984 Issued in CA
Practice address
9700 Reseda Blvd Ste 203B
Northridge, CA 91324-5509
Phone
(661) 524-9936
Fax
(661) 524-9950
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 55984 CA Primary

Addresses

Primary practice location

9700 Reseda Blvd Ste 203B
Northridge, CA 91324-5509

Mailing address

12308 Lull St
North Hollywood, CA 91605-2346
Phone (818) 517-2055

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
I20260424000796 CA Practitioner - Marriage and Family Therapist 4183191430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12308 Lull St
North Hollywood, CA 91605-2346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Solution, Inc Marriage & Family Therapist CurrentSince Mar 19, 2023 Accepting new patients

Locations

9700 Reseda Blvd
Ste 203B
Northridge, CA 91324
Phone (661) 524-9936

11712 Moorpark St
Ste 211
Studio City, CA 91604
Phone (818) 476-2007

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1942469838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12308 LULL ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052346",
            "telephone_number": "818-517-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 RESEDA BLVD STE 203B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245509",
            "telephone_number": "661-524-9936",
            "fax_number": "661-524-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODALY",
        "first_name": "RIMA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "55984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.