Individual provider Active NPI

Matthew Douglass Baldwin, LMFT

  • Marriage & Family Therapist
  • South Pasadena, CA
National Provider Identifier
1184017808
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109632 Issued in CA
Practice address
1706 Fair Oaks Ave Apt B
South Pasadena, CA 91030-4731
Phone
(510) 296-5682
NPI assigned
Mar 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 190632 CA
Marriage & Family Therapist 106H00000X 109632 CA Primary

Addresses

Primary practice location

1706 Fair Oaks Ave Apt B
South Pasadena, CA 91030-4731

Mailing address

1441 Huntington Dr Ste 2310
South Pasadena, CA 91030-4512
Phone (510) 296-5682

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
190632CAMDMental Health Counselor
109632CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Matt Baldwin Psychotherapy Marriage & Family Therapist CurrentSince Apr 13, 2025 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": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1184017808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 HUNTINGTON DR STE 2310",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304512",
            "telephone_number": "510-296-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 FAIR OAKS AVE APT B",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304731",
            "telephone_number": "510-296-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLASS",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-05",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "190632",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.