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MR. DIMITRY KLIM GRANOVSKY MFTI
NPI 1821501479
Marriage & Family Therapist in Los Angeles, CA

Active since November 06, 2017Opted out of Medicare · through Jan 1, 2028
321 N LARCHMONT BLVD STE 506, LOS ANGELES, CA 90004(213) 399-7823 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2026, Mar 17, 2018, Nov 6, 2017 (3 updates tracked since 2017).

About Mr. Dimitry Klim Granovsky Mfti NPPES

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

MR. DIMITRY KLIM GRANOVSKY MFTI (NPI 1821501479) is an individual marriage & family therapist in Los Angeles, California and active in the NPI registry since November 2017. He has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Rancho Palos Verdes.

NPPES Registry Identity

NPI1821501479
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. DIMITRY KLIM GRANOVSKYCredential: MFTI
Location Address321 N LARCHMONT BLVD STE 506Los Angeles, CA 90004-6405
Mailing Address28625 S Western Ave Ste 210Rancho Palos Verdes, CA 90275-0810 · (213) 399-7823
Phone(213) 399-7823
Sole ProprietorYes
Enumeration DateNovember 6, 2017
Last NPPES UpdateMarch 13, 20263 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1821501479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
321 N LARCHMONT BLVD STE 506, Los Angeles, CA 90004
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Secondary Practice Location 1

Location 128625 S Western Ave Ste 210Rancho Palos Verdes, CA 90275-0810 · Phone (213) 399-7823

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Dimitry Klim Granovsky Mfti 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 8

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

DR. ANADEL BAUGHN BARBOUR PHD, LMFT
Marriage & Family Therapist
321 N LARCHMONT BLVD STE 506
LOS ANGELES, CA 90004
Los Angeles County (323) 488-3335
CONNOR MCCABE AMFT
Marriage & Family Therapist
321 N LARCHMONT BLVD STE 506
LOS ANGELES, CA 90004
Los Angeles County (310) 853-3521
NICK LODATO MA,AMFT
Marriage & Family Therapist
321 N LARCHMONT BLVD STE 506
LOS ANGELES, CA 90004
Los Angeles County (310) 904-8216
MIMI LE
Marriage & Family Therapist
321 N LARCHMONT BLVD STE 506
LOS ANGELES, CA 90004
Los Angeles County (323) 334-0464
YEKTA NIKOU MA, LMFT
Marriage & Family Therapist
321 N LARCHMONT BLVD STE 506
LOS ANGELES, CA 90004
Los Angeles County (323) 645-0664
GABRIEL WELCHERT GARCIA
Marriage & Family Therapist
321 N LARCHMONT BLVD STE 506
LOS ANGELES, CA 90004
Los Angeles County (323) 334-0464
CHELSEA MONTY LMFT
Marriage & Family Therapist
321 N LARCHMONT BLVD STE 506
LOS ANGELES, CA 90004
Los Angeles County (323) 487-3361
ELIJAH N GEIGER AMFT, APCC
Marriage & Family Therapist
321 N LARCHMONT BLVD STE 506
LOS ANGELES, CA 90004
Los Angeles County (323) 250-3093

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 Dimitry Granovsky's NPI number?

The NPI number for Dimitry Granovsky is 1821501479. It was assigned to this individual provider in the NPPES registry on November 6, 2017.

Where is Dimitry Granovsky located?

Dimitry Granovsky practices at 321 N Larchmont Blvd Ste 506, Los Angeles, CA 90004. The listed phone number is (213) 399-7823.

What is Dimitry Granovsky's specialty?

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

Is Dimitry Granovsky enrolled in Medicare?

No. Dimitry Granovsky has opted out of Medicare through January 1, 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 Dimitry Granovsky was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.