Active NPI
John J Ferdenzi
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1285455287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 145635
- Practice address
- 427 S Marengo Ave Ste 5
Pasadena, CA 91101-3134 - Phone
- (213) 718-1422
- NPI assigned
- Oct 22, 2024
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 145635 | CA | Primary |
Addresses
Primary practice location
427 S Marengo Ave Ste 5
Pasadena, CA 91101-3134
Mailing address
3712 Toland Way
Los Angeles, CA 90065-3615
Phone (818) 455-3923
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 |
|---|---|---|---|
| 145635 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matt Rohr & Associates, Psychotherapy, a Professional Corpo | Current | Accepting new patients |
Locations
427 S Marengo Ave
Ste 5
Pasadena, CA 91101
Phone (213) 718-1422
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.
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- Pasadena, CA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1285455287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3712 TOLAND WAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900653615",
"telephone_number": "818-455-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 S MARENGO AVE STE 5",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013134",
"telephone_number": "213-718-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERDENZI",
"first_name": "JOHN",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "145635",
"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 Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.