1. Home
  2. Directory
  3. California
  4. Palos Verdes Estates
  5. Marriage Family Therapist
  6. NPI Profile

CONSTANTINE VASILOMANOLAKIS
NPI 1275089419
Marriage & Family Therapist in Palos Verdes Estates, CA

Active since August 28, 2016Opted out of Medicare · through May 9, 2028
36 MALAGA COVE PLZ STE 202, PALOS VERDES ESTATES, CA 90274(562) 881-7195 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 24, 2021, Aug 28, 2016 (2 updates tracked since 2016).

About Constantine Vasilomanolakis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONSTANTINE VASILOMANOLAKIS (NPI 1275089419) is an individual marriage & family therapist in Palos Verdes Estates, California, licensed in California (124988) and active in the NPI registry since August 2016. He has opted out of Medicare through May 9, 2028.

NPPES Registry Identity

NPI1275089419
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameCONSTANTINE VASILOMANOLAKIS
Location Address36 MALAGA COVE PLZ STE 202Palos Verdes Estates, CA 90274-6813
Mailing Address36 Malaga Cove Plz Ste 202Palos Verdes Estates, CA 90274-6813 · (562) 881-7195
Phone(562) 881-7195
Sole ProprietorYes
Enumeration DateAugust 28, 2016
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1275089419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 124988
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.
36 MALAGA COVE PLZ STE 202, Palos Verdes Estates, CA 90274
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Constantine Vasilomanolakis has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 9, 2024 through May 9, 2028.

Opt-Out Effective DateMay 9, 2024
Opt-Out In Effect ThroughMay 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Constantine Vasilomanolakis's NPI number?

The NPI number for Constantine Vasilomanolakis is 1275089419. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Constantine Vasilomanolakis located?

Constantine Vasilomanolakis practices at 36 Malaga Cove Plz Ste 202, Palos Verdes Estates, CA 90274. The listed phone number is (562) 881-7195.

What is Constantine Vasilomanolakis's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Constantine Vasilomanolakis enrolled in Medicare?

No. Constantine Vasilomanolakis has opted out of Medicare through May 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Constantine Vasilomanolakis was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.