Provider Demographics
NPI:1124566005
Name:NIHAL MAKHYOUN, PHD, MFT, APA
Entity Type:Organization
Organization Name:NIHAL MAKHYOUN, PHD, MFT, APA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NIHAL
Authorized Official - Middle Name:N
Authorized Official - Last Name:MAKHYOUN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:661-209-6970
Mailing Address - Street 1:29326 HIDDEN OAK PL
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91387-5906
Mailing Address - Country:US
Mailing Address - Phone:661-251-7470
Mailing Address - Fax:661-209-6970
Practice Address - Street 1:10506 BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2218
Practice Address - Country:US
Practice Address - Phone:661-209-6970
Practice Address - Fax:661-251-7470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC41005106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty