Active NPI
Glenda Jean Corstorphine
- Psychoanalyst
- Pasadena, CA
National Provider Identifier
1225799604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- MFC27747
- Practice address
- 595 E Colorado Blvd Ste 318
Pasadena, CA 91101-2021 - Phone
- (626) 449-9927
- NPI assigned
- Jan 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC27747 | CA | |
| Psychoanalyst | 102L00000X | MFC27747 | CA | Primary |
Addresses
Primary practice location
595 E Colorado Blvd Ste 318
Pasadena, CA 91101-2021
Mailing address
595 E Colorado Blvd Ste 318
Pasadena, CA 91101-2021
Phone (626) 449-9927
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | glendacorstorphinepsyd.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC27747 | CA | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1225799604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 E COLORADO BLVD STE 318",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012021",
"telephone_number": "626-449-9927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 E COLORADO BLVD STE 318",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012021",
"telephone_number": "626-449-9927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSTORPHINE",
"first_name": "GLENDA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC27747",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychoanalyst",
"state": "CA",
"license": "MFC27747",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "glendacorstorphinepsyd.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "595 E Colorado Blvd Ste 318",
"city": "Pasadena",
"state": "CA",
"country_code": "US",
"postal_code": "911012021",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.