Individual provider Active NPI

Carlynne Nalbandian, MFT

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1306317680
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT110449 Issued in CA
Practice address
1021 E Walnut St Ste 200
Pasadena, CA 91106-1485
Phone
(507) 881-0905
NPI assigned
Dec 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT110449 CA Primary

Addresses

Primary practice location

1021 E Walnut St Ste 200
Pasadena, CA 91106-1485

Mailing address

78 San Miguel Dr
Camarillo, CA 93010-1100
Phone (805) 341-2723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 7, 2024 through Jan 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT110449CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Connection PastSince Aug 6, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1306317680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SAN MIGUEL DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101100",
            "telephone_number": "805-341-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E WALNUT ST STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061485",
            "telephone_number": "507-881-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALBANDIAN",
        "first_name": "CARLYNNE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT110449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.