Individual provider Active NPI

Maria Mola Parent, PH.D

  • Clinical Psychologist
  • Glendale, CA
National Provider Identifier
1013929512
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11069 Issued in CA
Practice address
3786 La Crescenta Ave Ste 101
Glendale, CA 91208-1546
Phone
(818) 541-9276
Fax
(818) 241-5785
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY11069 CA Primary

Addresses

Primary practice location

3786 La Crescenta Ave Ste 101
Glendale, CA 91208-1546

Mailing address

3786 La Crescenta Ave Ste 101
Glendale, CA 91208-1059
Phone (818) 541-9276

Other practice location 1

3436 N Verdugo Rd
Ste 102
Glendale, CA 91208-1546
Phone (818) 541-9276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050106000553 CA Practitioner - Clinical Psychologist 4284682204 Practice locations: Glendale, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3786 La Crescenta Ave
Suite 101
Glendale, CA 91208-1059
Phone (818) 541-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Physical Therapy, Inc. PastSince Aug 27, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013929512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3786 LA CRESCENTA AVE STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081059",
            "telephone_number": "818-541-9276",
            "fax_number": "818-241-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3786 LA CRESCENTA AVE STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081546",
            "telephone_number": "818-541-9276",
            "fax_number": "818-241-5785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3436 N VERDUGO RD",
            "address_2": "STE 102",
            "address_purpose": "LOCATION",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081546",
            "country_code": "US",
            "telephone_number": "818-541-9276",
            "fax_number": "818-241-5785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARENT",
        "first_name": "MARIA",
        "middle_name": "MOLA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.