Individual provider Active NPI

Patricia Minnitti, PH.D., MFT

  • Mental Health Counselor
  • Lomita, CA
National Provider Identifier
1003078940
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFT MN15479 Issued in CA
Practice address
2075 Palos Verdes Dr N
Suite 218
Lomita, CA 90717-3724
Phone
(310) 890-1029
Fax
(310) 265-1216
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFT MN15479 CA Primary

Addresses

Primary practice location

2075 Palos Verdes Dr N
Suite 218
Lomita, CA 90717-3724

Mailing address

2075 Palos Verdes Dr N
Suite 218
Lomita, CA 90717-3724
Phone (310) 890-1029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT MN15479CAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1003078940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 PALOS VERDES DR N",
            "address_2": "SUITE 218",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173724",
            "telephone_number": "310-890-1029",
            "fax_number": "310-265-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 PALOS VERDES DR N",
            "address_2": "SUITE 218",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173724",
            "telephone_number": "310-890-1029",
            "fax_number": "310-265-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNITTI",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PH.D., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT MN15479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.