Active NPI
Glenn Philip Ferdinand, M.S., LMFT
- Marriage & Family Therapist
- Long Beach, CA
National Provider Identifier
1245417567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 94192
- Practice address
- 555 E Ocean Blvd Ste 330
Long Beach, CA 90802-5052 - Phone
- (562) 432-1222
- NPI assigned
- Jan 29, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 94192 | CA | Primary |
Addresses
Primary practice location
555 E Ocean Blvd Ste 330
Long Beach, CA 90802-5052
Mailing address
555 E Ocean Blvd Ste 330
Long Beach, CA 90802-5052
Phone (562) 424-1869
Other practice location 1
2537 Ladoga Ave
Long Beach, CA 90815-2308
Phone (562) 556-4577
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | imglenn@hushmail.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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for Family Centered Services Inc. | Current | Accepting new patients |
Locations
555 E Ocean Blvd
Ste 330
Long Beach, CA 90802
Phone (562) 432-0020
3350 Olive Ave
Signal Hill, CA 90755
Phone (562) 424-1869
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.
-
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1255714804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1245417567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E OCEAN BLVD STE 330",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908025052",
"telephone_number": "562-424-1869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E OCEAN BLVD STE 330",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908025052",
"telephone_number": "562-432-1222"
}
],
"practiceLocations": [
{
"address_1": "2537 Ladoga Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908152308",
"country_code": "US",
"telephone_number": "562-556-4577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERDINAND",
"first_name": "GLENN",
"middle_name": "PHILIP",
"name_prefix": "Mr.",
"credential": "M.S., LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-29",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "94192",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "imglenn@hushmail.com",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2537 Ladoga Ave",
"city": "Long Beach",
"state": "CA",
"country_code": "US",
"postal_code": "908152308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.