Active NPI
Erica J Taylor, IMF
- Marriage & Family Therapist
- Baldwin Park, CA
National Provider Identifier
1265875975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 73739
- Practice address
- 14652 Pacific Ave
Baldwin Park, CA 91706-5333 - Phone
- (626) 430-6197
- NPI assigned
- Apr 11, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 73739 | CA | Primary |
Addresses
Primary practice location
14652 Pacific Ave
Baldwin Park, CA 91706-5333
Mailing address
8255 Vineyard Ave Apt 800E
#800-E
Rancho Cucamonga, CA 91730-7177
Phone (909) 476-9166
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 |
|---|---|---|---|
| IMF 73739 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Lemon Marriage and Family Therapy, Inc | Marriage & Family Therapist | Past | Accepting new patients |
| TML Behavioral Health Group LLC | 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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1265875975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8255 VINEYARD AVE APT 800E",
"address_2": "#800-E",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917307177",
"telephone_number": "909-476-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14652 PACIFIC AVE",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917065333",
"telephone_number": "626-430-6197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ERICA",
"middle_name": "J",
"credential": "IMF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 73739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.