Organization Active NPI

Jaklin Yasaman Licensed Marriage and Family Therapy Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burbank, CA
National Provider Identifier
1972129880
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JAKLIN YASAMAN LICENSED MARRIAGE AND FAMILY THERAPY CORPORATION
Practice address
7869 Shadyspring Dr
Burbank, CA 91504-1040
Phone
(818) 649-4463
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Mrs. Jaklin Yasaman, LMFTNPI 1598137614
Title
Therapist
Phone
(818) 649-4463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7869 Shadyspring Dr
Burbank, CA 91504-1040

Mailing address

7869 Shadyspring Dr
Burbank, CA 91504-1040
Phone (818) 649-4463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240215001822 CA Part B Supplier - Clinic/Group Practice 9335583525 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1972129880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7869 SHADYSPRING DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041040",
            "telephone_number": "818-649-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7869 SHADYSPRING DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041040",
            "telephone_number": "818-649-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKLIN YASAMAN LICENSED MARRIAGE AND FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "YASAMAN",
        "authorized_official_first_name": "JAKLIN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "818-649-4463",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.