Individual provider Active NPI

Behnam Keyvan, M.F.T.

  • Marriage & Family Therapist
  • Reseda, CA
National Provider Identifier
1972626646
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
50755 Issued in CA
Practice address
7101 Baird Ave
101
Reseda, CA 91335-4150
Phone
(818) 342-5897
Fax
(818) 345-6256
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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 50755 CA Primary

Addresses

Primary practice location

7101 Baird Ave
101
Reseda, CA 91335-4150

Mailing address

7101 Baird Ave
101
Reseda, CA 91335-4150
Phone (818) 342-5897

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
I20241010001434 CA Practitioner - Marriage and Family Therapist 4082146428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21243 Ventura Blvd
Suite 203
Woodland Hills, CA 91364-2110
Phone (818) 448-2753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50755CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Behnam Keyvan LMFT Inc Marriage & Family Therapist CurrentSince Aug 20, 2024 Accepting new patients

Locations

21243 Ventura Blvd
Ste 203
Woodland Hills, CA 91364
Phone (661) 478-2104

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1972626646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 BAIRD AVE",
            "address_2": "101",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354150",
            "telephone_number": "818-342-5897",
            "fax_number": "818-345-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 BAIRD AVE",
            "address_2": "101",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354150",
            "telephone_number": "818-342-5897",
            "fax_number": "818-345-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYVAN",
        "first_name": "BEHNAM",
        "name_prefix": "Mr.",
        "credential": "M.F.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.