Edward Alexander Nodal, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

90970 Issued in CA

Practice address

1530 W Cameron Ave
West Covina, CA 91790-2711

Phone

(626) 993-3029

NPI assigned

Jul 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1972768463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W MANOR ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014715",
            "telephone_number": "818-631-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902711",
            "telephone_number": "626-993-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODAL",
        "first_name": "EDWARD",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "57114",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Nieh
• Misook Oh Nierodzik, PSY. D.
• Leticia Nieto
• Pui Nip
• NNB Enterprise LLC
• Catherine Noel-Uyloan, MD
• Ariana Noguera
• Marisol Nolan
• Norman Truong
• Brian Norwood

• Marriage & Family Therapist in West Covina, CA
• Providers in West Covina, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.