Active NPI
Erika Lynne Poladian, M.A., LMFT
- Marriage & Family Therapist
- Pasadena, CA
National Provider Identifier
1154778371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 100831
- Practice address
- 595 E Colorado Blvd Ste 810
Pasadena, CA 91101-2001 - Phone
- (626) 765-4045
- NPI assigned
- May 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 100831 | CA | Primary |
Addresses
Primary practice location
595 E Colorado Blvd Ste 810
Pasadena, CA 91101-2001
Mailing address
595 E Colorado Blvd Ste 810
Pasadena, CA 91101-2001
Phone (626) 765-4045
Other practice location 1
19720 Ventura Blvd
#C
Woodland Hills, CA 91364-2624
Phone (818) 804-0322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194214239 | Other | CA | MIND STUDY CENTER |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100831 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Study Center | Marriage & Family Therapist | Past | 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": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1154778371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 E COLORADO BLVD STE 810",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012001",
"telephone_number": "626-765-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 E COLORADO BLVD STE 810",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012001",
"telephone_number": "626-765-4045"
}
],
"practiceLocations": [
{
"address_1": "19720 Ventura Blvd",
"address_2": "#C",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "913642624",
"country_code": "US",
"telephone_number": "818-804-0322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLADIAN",
"first_name": "ERIKA",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "M.A., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "100831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIND STUDY CENTER",
"identifier": "1194214239",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.