Active NPI
Nancy R Madani, LMFT
- Marriage & Family Therapist
- Pasadena, CA
National Provider Identifier
1265859219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT139381
- Practice address
- 2550 E Foothill Blvd
Pasadena, CA 91107-3406 - Phone
- (626) 744-5230
- Fax
- (626) 744-5242
- NPI assigned
- Mar 27, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT139381 | CA | Primary |
| Mental Health Counselor | 101YM0800X | IMFT78976 | CA | |
| Mental Health Counselor | 101YM0800X | AMFT117232 | CA |
Addresses
Primary practice location
2550 E Foothill Blvd
Pasadena, CA 91107-3406
Mailing address
15792 Midwood Dr
Unit 2
Granada Hills, CA 91344-3234
Phone (818) 900-3231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265859219 | Other | CA | MEDICAL |
Other names 1
- Mrs. Nancy R Madani
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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 |
|---|---|---|---|
| AMFT117232 | CA | MD | Mental Health Counselor |
| IMFT78976 | CA | MD | Mental Health Counselor |
| LMFT139381 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Past | Accepting new patients | |
| San Fernando Community Hospital | Past | Accepting new patients |
Organizations & group practices 2
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
- Pasadena, CA
- NPI 1992463020
-
dba San Fernando Community Health Center
- Primary Care Clinic/Center
- San Fernando, CA
- NPI 1245669555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1265859219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15792 MIDWOOD DR",
"address_2": "UNIT 2",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913443234",
"telephone_number": "818-900-3231",
"fax_number": "818-825-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 E FOOTHILL BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073406",
"telephone_number": "626-744-5230",
"fax_number": "626-744-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADANI",
"first_name": "NANCY",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2023-10-27",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT139381",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMFT78976",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT117232",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "1265859219",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "13652 Cantara St",
"city": "Panorama City",
"state": "CA",
"country_code": "US",
"postal_code": "914025423",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NANCY",
"last_name": "MADANI",
"middle_name": "R",
"prefix": "MRS.",
"credential": "PSY.D., LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
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 Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.