Individual provider Active NPI

Tim James Crosby

  • Marriage & Family Therapist
  • Whittier, CA
National Provider Identifier
1003112368
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC53330 Issued in CA
Practice address
9829 Carmenita Rd Ste H
Whittier, CA 90605-3262
Phone
(562) 907-7429
NPI assigned
Feb 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC53330 CA Primary

Addresses

Primary practice location

9829 Carmenita Rd Ste H
Whittier, CA 90605-3262

Mailing address

150 S 3Rd Ave
Arcadia, CA 91006-3703
Phone (626) 821-8370

Other practice location 1

150 S 3rd Ave
Arcadia, CA 91006-3703
Phone (626) 821-8370 ext. 1042

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

State licenses

LicenseStateTypeSpecialty
MFC53330CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1003112368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S 3RD AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063703",
            "telephone_number": "626-821-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9829 CARMENITA RD STE H",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053262",
            "telephone_number": "562-907-7429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910063703",
            "country_code": "US",
            "telephone_number": "626-821-8370 x1042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "TIM",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-03",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC53330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.