CARLY MICHELE FIDLER
NPI 1356066963
Marriage & Family Therapist in Culver City, CA

Q: What is Carly Fidler's NPI number?

The NPI number for Carly Fidler is 1356066963. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Q: What is Carly Fidler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carly Fidler was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 05, 2022

9808 VENICE BLVD STE 700, CULVER CITY, CA 90232(310) 945-3350(310) 945-3356 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2024, Feb 5, 2024, Oct 5, 2022 (3 updates tracked since 2022).

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About Carly Michele Fidler NPPES

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

CARLY MICHELE FIDLER (NPI 1356066963) is an individual marriage & family therapist in Culver City, California, licensed in California (AMFT144626) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1356066963

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCARLY MICHELE FIDLER

Location Address9808 VENICE BLVD STE 700Culver City, CA 90232-6824

Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350 · Fax (310) 945-3356

Phone(310) 945-3350

Fax(310) 945-3356

Sole ProprietorNo

Enumeration DateOctober 5, 2022

Last NPPES UpdateApril 10, 20243 updates tracked since enumeration

NPPES CertifiedApril 10, 2024

✔ NPI 1356066963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · AMFT144626

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9808 VENICE BLVD STE 700, Culver City, CA 90232

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN JACOB WINSTON

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