Individual provider Active NPI

Erika Lynne Poladian, M.A., LMFT

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1154778371
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100831 Issued in CA
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

Updated by the provider on Dec 5, 2019

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 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

IdentifierTypeStateIssuer
1194214239OtherCAMIND 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

LicenseStateTypeSpecialty
100831CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Study Center Marriage & Family Therapist PastSince Oct 27, 2019 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.

Verify at the official NPI Registry.