Daniel James Grimm, J.D., M.A., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC52072 Issued in CA

Practice address

1910 Huntington Dr
South Pasadena, CA 91030-4812

Phone

(805) 551-6746

NPI assigned

Mar 3, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Master of Arts

State licenses

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1457776213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10882 CREEK RD",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930239423",
            "telephone_number": "805-551-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 HUNTINGTON DR",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304812",
            "telephone_number": "805-551-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "J.D., M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC52072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES LICENSE",
            "identifier": "MFC52072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elijah J Grant
• Evan Green
• Lily Chen Greenberg, MD
• Barbara J Greenfield, RN, BSN, CCM, CNLCP
• Laura Marie Grello, LCSW
• Karina Guadron, MT
• Adriana Guarderas, AMFT
• Zoe Elizabeth Guertin
• Karen Julissa Guevara-Dominguez
• Lisa Gutierrez, M.S., M.A.

• Marriage & Family Therapist in South Pasadena, CA
• Providers in South Pasadena, 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 Mar 3, 2014; 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.