Individual provider Active NPI

Brockton David Hill, J.D,M.A.,MFT

  • Psychoanalyst
  • Pasadena, CA
National Provider Identifier
1306281365
Registry record updated May 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
MFT37755 Issued in CA
Practice address
130 S Euclid Ave
Suite 6
Pasadena, CA 91101-2446
Phone
(818) 726-1459
NPI assigned
May 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X MFT37755 CA Primary

Addresses

Primary practice location

130 S Euclid Ave
Suite 6
Pasadena, CA 91101-2446

Mailing address

130 S Euclid Ave
Suite 6
Pasadena, CA 91101-2446
Phone (818) 726-1459

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
Credentials
Juris Doctor, Master of Arts

State licenses

LicenseStateTypeSpecialty
MFT37755CAMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1367712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367712000000",
    "number": "1306281365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S EUCLID AVE",
            "address_2": "SUITE 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012446",
            "telephone_number": "818-726-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S EUCLID AVE",
            "address_2": "SUITE 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012446",
            "telephone_number": "818-726-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "BROCKTON",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "J.D,M.A.,MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-05",
        "last_updated": "2013-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "MFT37755",
            "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 May 5, 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.

Verify at the official NPI Registry.