Healthcare Provider Details

I. General information

NPI: 1417531575
Provider Name (Legal Business Name): MATTHEW LEVY LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 HARBOR BLVD STE 1202ND
OXNARD CA
93035-4136
US

IV. Provider business mailing address

3600 HARBOR BLVD STE 121
OXNARD CA
93035-4136
US

V. Phone/Fax

Practice location:
  • Phone: 818-861-9599
  • Fax:
Mailing address:
  • Phone: 818-535-6293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number104743
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: