Pamela Kathlyn Gerhard-Johnson

Individual provider Active NPI Marriage & Family Therapist · Burbank, CA

NPI 1124348651 · NPPES record last updated Mar 16, 2021

Key facts

NPI
1124348651
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
47701 (CA)
Practice address
3808 W Riverside Dr Ste 500
Burbank, CA 91505-5301
Phone
(714) 865-8158
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
47701CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwinds Maui Wellness & Recovery Inc. Marriage & Family Therapist Current
since Mar 21, 2021
Accepting new patients
PJ Therapy Services Inc. Current
since Mar 21, 2021
Accepting new patients

Locations

3808 W Riverside Dr
Ste 500
Burbank, CA 91505
Phone (310) 800-1442

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 47701 CA Yes

Addresses

Primary practice location

3808 W Riverside Dr Ste 500
Burbank, CA 91505-5301

Mailing address

4954 Biloxi Ave
N Hollywood, CA 91601-4813
Phone (714) 865-8158

Other names

  • Mrs. Pamela Johnson Professional name

Other providers in Burbank, CA

All providers in Burbank, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.