Organization Active NPI

Jessica Cerutti, LCSW

  • Community/Behavioral Health Agency
  • Pasadena, CA
National Provider Identifier
1285188896
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCS29869 Issued in CA
Legal business name
JESSICA CERUTTI, LCSW
Practice address
254 S de Lacey Ave
Suite B
Pasadena, CA 91105-2006
Phone
(626) 559-0552
Fax
(323) 430-8878
NPI assigned
Aug 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Authorized official

Name
Jessica Cerutti, LCSW
Title
Owner
Phone
(626) 559-0552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCS29869 CA Primary

Addresses

Primary practice location

254 S de Lacey Ave
Suite B
Pasadena, CA 91105-2006

Mailing address

254 S de Lacey Ave
Suite B
Pasadena, CA 91105-2006
Phone (626) 559-0552

National Provider Directory

National Provider Directory

Locations

254 S De Lacey Ave
Ste B
Pasadena, CA 91105
Phone (626) 559-0552

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1285188896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 S DE LACEY AVE",
            "address_2": "SUITE B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052006",
            "telephone_number": "626-559-0552",
            "fax_number": "323-430-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 S DE LACEY AVE",
            "address_2": "SUITE B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052006",
            "telephone_number": "626-559-0552",
            "fax_number": "323-430-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA CERUTTI, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "CERUTTI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-559-0552",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS29869",
            "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 Aug 11, 2016; 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.