Individual provider Active NPI

Ann L Palik, MFT

  • Marriage & Family Therapist
  • Torrance, CA
National Provider Identifier
1164440202
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
33337 Issued in CA
Practice address
24520 Hawthorne Blvd Ste 220
Torrance, CA 90505-6848
Phone
(310) 538-3512
NPI assigned
Jul 17, 2006
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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 33337 CA Primary

Addresses

Primary practice location

24520 Hawthorne Blvd Ste 220
Torrance, CA 90505-6848

Mailing address

PO Box 6668
Torrance, CA 90504-0668
Phone (310) 538-3512

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
I20240829001946 CA Practitioner - Marriage and Family Therapist 5294274692 Practice locations: Torrance, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24520 Hawthorne Blvd
Suite 220
Torrance, CA 90505-6848
Phone (310) 538-3512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33337CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1164440202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6668",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905040668",
            "telephone_number": "310-538-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24520 HAWTHORNE BLVD STE 220",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056848",
            "telephone_number": "310-538-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALIK",
        "first_name": "ANN",
        "middle_name": "L",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "33337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.