Organization Active NPI

Madley & Mink Psychotherapy Corporation

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1275301889
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MADLEY & MINK PSYCHOTHERAPY CORPORATION
Practice address
16 N Marengo Ave Ste 319
Pasadena, CA 91101-1982
Phone
(310) 739-9016
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Ashley MinkNPI 1275278293
Title
Owner
Phone
(310) 739-9016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

16 N Marengo Ave Ste 319
Pasadena, CA 91101-1982

Mailing address

16 N Marengo Ave Ste 319
Pasadena, CA 91101-1982

National Provider Directory

National Provider Directory

Locations

16 N Marengo Ave
Ste 319
Pasadena, CA 91101
Phone (310) 701-4951

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1275301889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N MARENGO AVE STE 319",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N MARENGO AVE STE 319",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011982",
            "telephone_number": "310-739-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADLEY & MINK PSYCHOTHERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "MINK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-739-9016"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 13, 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.

Verify at the official NPI Registry.