Active NPI
Caroline McDonough
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1972275600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 11710 San Vicente Blvd
Los Angeles, CA 90049-5006 - Phone
- (855) 651-1580
- NPI assigned
- Sep 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
11710 San Vicente Blvd
Los Angeles, CA 90049-5006
Mailing address
12035 Wilshire Blvd Apt 512
Los Angeles, CA 90025-1278
Phone (203) 980-1675
Other practice location 1
1452 26th St
Santa Monica, CA 90404-3084
Phone (323) 451-5727
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1972275600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12035 WILSHIRE BLVD APT 512",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251278",
"telephone_number": "203-980-1675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11710 SAN VICENTE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495006",
"telephone_number": "855-651-1580"
}
],
"practiceLocations": [
{
"address_1": "1452 26th St",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904043084",
"country_code": "US",
"telephone_number": "323-451-5727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONOUGH",
"first_name": "CAROLINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.