Active NPI
Christopher Scott Pearson, AMFT
- Behavior Technician
- Tarzana, CA
National Provider Identifier
1962710889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 88052
- Practice address
- 19139 Friar St
Tarzana, CA 91335-6709 - Phone
- (323) 799-3803
- NPI assigned
- Sep 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Behavior Technician | 106S00000X | 88052 | CA | Primary |
Addresses
Primary practice location
19139 Friar St
Tarzana, CA 91335-6709
Mailing address
19139 Friar St
Tarzana, CA 91335-6709
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
| License | State | Type | Specialty |
|---|---|---|---|
| 88052 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1962710889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19139 FRIAR ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913356709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19139 FRIAR ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913356709",
"telephone_number": "323-799-3803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "CHRISTOPHER",
"middle_name": "SCOTT",
"credential": "AMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-14",
"last_updated": "2020-09-01",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "88052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.