Pamela Anderson Licensed Marriage and Family Therapist Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PAMELA ANDERSON LICENSED MARRIAGE AND FAMILY THERAPIST INC

Practice address

18229 Milmore Ave
Carson, CA 90746-1751

Phone

(310) 629-1183

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Pamela AndersonNPI 1598013799

Title

Owner

Phone

(310) 629-1183

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Dell Anderson, LMFT

  • Marriage & Family Therapist
  • Carson, CA
  • NPI 1598013799
  NPD Authorized official

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1356071138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18229 MILMORE AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18229 MILMORE AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461751",
            "telephone_number": "310-629-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA ANDERSON LICENSED MARRIAGE AND FAMILY THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-629-1183"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leilani Palad-Sales, MSN, FNP
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• Rebeca Isabel Palma Osuna
• Lesley Ann Guzman Palomares
• Tori D Palomino
• Elvira Feraer Papilla
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• Keith Park
• Jyotsnaben Patel, MFT LICENSED
• Pavilion Healthcare Services Inc

• Marriage & Family Therapist in Carson, CA
• Providers in Carson, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.