MYTHILI JAGANATH


Address: 22048 Sherman Way Ste 307, Canoga Park, CA 91303
Phone: 8183481436

MYTHILI JAGANATH (NPI# 1689775512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689775512
Entity Type Individual
Full Name MYTHILI JAGANATH
Credential MFT
Practice Address 22048 Sherman Way Ste 307
Canoga Park
CA 91303
Mailing Address 23615 Spires St
West Hills
CA 91304-5244
Practice Telephone 8183481436
Practice Fax Number 8183481436
Mailing Telephone 8183481436
Mailing Fax Number 8183481436
Enumeration Date 2006-09-25
Last Update Date 2018-05-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist MFC31576 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MF3157600 05

Office Location

Street Address 22048 SHERMAN WAY STE 307
City CANOGA PARK
State CA
Zip Code 91303

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1063908689 Caremed Hospice Inc Hospice Care, Community Based 22048 Sherman Way Ste 309, Canoga Park, CA 91303 2018-07-06
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1164942074 Christopher Lang Sr. Clinical Exercise Physiologist 21200 Kittridge Street, Suite 3238, Woodland Hills, CA 91303 2017-06-21
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154754596 Liliana Maria Rodriguez Marriage & Family Therapist 21731 Napa St, Canoga Park, CA 91304-2530 2013-08-20
1992015499 Kami Amber Leonard Marriage & Family Therapist 21201 Victory Blvd Ste 200, Canoga Park, CA 91303 2010-10-18
1306064985 Raul Lara Marriage & Family Therapist 22030 Sherman Way Ste 316, Canoga Park, CA 91303-2206 2007-04-21
1528184280 Luann Rollens Marriage & Family Therapist 6800 Owensmouth Ave Ste 310, Canoga Park, CA 91303-4245 2007-03-22
1548391592 Adria Beth Scovel Marriage & Family Therapist 21045 Hart St, Canoga Park, CA 91303-2223 2007-03-08
1720142540 Linda M Simon Marriage & Family Therapist 19725 Sherman Way, Suite 250, Canoga Park, CA 91306 2006-12-19
1699791509 Laura V Capizzi-nelson Marriage & Family Therapist 7334 Topanga Cyn Blvd, #213, Canoga Park, CA 91303 2006-07-14
1861417719 Tamara S. Mowbray Marriage & Family Therapist 21201 Victory Blvd, Ste 200, Canoga Park, CA 91303-2866 2006-07-13
1154391902 Irving Dacre Croshier Marriage & Family Therapist 7041 Owensmouth Ave, #202, Canoga Park, CA 91303-2057 2006-01-25
1467092403 Alexus Martinez Marriage & Family Therapist 21201 Victory Blvd Ste 200, Canoga Park, CA 91303-2866 2020-01-07
Find all providers in CANOGA PARK

Competitor

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City CANOGA PARK
Zip Code 91303

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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