Individual provider Active NPI

Jennifer Faith Murdocca, MA, MFT

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1336848126
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45017 Issued in CA
Practice address
452 S Marengo Ave
Pasadena, CA 91101-3129
Phone
(323) 428-0063
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 45017 CA Primary

Addresses

Primary practice location

452 S Marengo Ave
Pasadena, CA 91101-3129

Mailing address

466 Foothill Blvd # 246
La Canada Flintridge, CA 91011-3518
Phone (323) 428-0063

Other identifiers 1

IdentifierTypeStateIssuer
45017OtherCAMFT LICENSE

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

LicenseStateTypeSpecialty
45017CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1336848126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 FOOTHILL BLVD # 246",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113518",
            "telephone_number": "323-428-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013129",
            "telephone_number": "323-428-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCCA",
        "first_name": "JENNIFER",
        "middle_name": "FAITH",
        "name_prefix": "Ms.",
        "credential": "MA, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT LICENSE",
            "identifier": "45017",
            "state": "CA"
        }
    ],
    "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 Mar 1, 2023; 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.