Active NPI
Mark Joseph Santarelli, MA, LMFT
- Marriage & Family Therapist
- South Pasadena, CA
National Provider Identifier
1306994546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 36574
- Practice address
- 722 Fremont Ave
# 10
South Pasadena, CA 91030-2530 - Phone
- (323) 377-9072
- NPI assigned
- Jan 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 36574 | CA | Primary |
Addresses
Primary practice location
722 Fremont Ave
# 10
South Pasadena, CA 91030-2530
Mailing address
2937 Adkins Ave
Los Angeles, CA 90032-3012
Phone (323) 377-9072
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 36574 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306994546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2937 ADKINS AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900323012",
"telephone_number": "323-377-9072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 FREMONT AVE",
"address_2": "# 10",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910302530",
"telephone_number": "323-377-9072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTARELLI",
"first_name": "MARK",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 36574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.