Individual provider Active NPI

Pamela Kathlyn Gerhard-Johnson

  • Marriage & Family Therapist
  • Burbank, CA
National Provider Identifier
1124348651
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
47701 Issued in CA
Practice address
3808 W Riverside Dr Ste 500
Burbank, CA 91505-5301
Phone
(714) 865-8158
NPI assigned
Jun 7, 2010
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 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 47701 CA Primary

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 1

  • Mrs. Pamela Johnson Professional name

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
47701CAMDMarriage & Family Therapist

Practice roles

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

Locations

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1124348651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 BILOXI AVE",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014813",
            "telephone_number": "714-865-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR STE 500",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915055301",
            "telephone_number": "714-865-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERHARD-JOHNSON",
        "first_name": "PAMELA",
        "middle_name": "KATHLYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "JOHNSON",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.