Individual provider Active NPI

Nyshae Perkins

  • Marriage & Family Therapist
  • Upland, CA
National Provider Identifier
1962983536
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1214 Eddington St
Upland, CA 91786-3440
Phone
(909) 931-1137
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 Primary

Addresses

Primary practice location

1214 Eddington St
Upland, CA 91786-3440

Mailing address

8780 19TH St # 316
Alta Loma, CA 91701-4608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • 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
I20240221001853 CA Practitioner - Marriage and Family Therapist 7113361882 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Therapeutic Alliance, a Licensed Clinical Social Worker Co CurrentSince Feb 5, 2024 Accepting new patients
Fields Comp. Youth Services Inc. PastSince Jan 1, 2020 Accepting new patients
Fields Comp. Youth Services, Inc. Past Accepting new patients

Locations

14500 Roscoe Blvd
Ste 400
Van Nuys, CA 91402
Phone (818) 741-2906

30700 Russell Ranch Rd
Ste 250
Westlake Village, CA 91362
Phone (800) 764-8981

Organizations & group practices 3

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1962983536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 19TH ST # 316",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917014608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 EDDINGTON ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863440",
            "telephone_number": "909-931-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "NYSHAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.