IndividualActive
Mike Faiola
NPI 1124910203 · Marriage & Family Therapist · San Pedro, CA
Provider details
- NPI number
- 1124910203
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sole proprietor
- No
- License
- AMFT147340 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
302 W 5th St
San Pedro, CA 90731-2738
Phone: (424) 570-6995
Street-level locationGet directions
Mailing address
313 17th Pl
Manhattan Beach, CA 90266-4643
Registry dates
- Enumerated
- 2025-07-15
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.