Pacific Trauma Treatment Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC46170 Issued in CA

Legal business name

PACIFIC TRAUMA TREATMENT CENTER

Practice address

444 S Marengo Ave
Pasadena, CA 91101-3113

Phone

(310) 738-4232

NPI assigned

May 11, 2013

Organization subpart

No

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

Authorized official

Name

Jacqueline Giana Woods, LMFTNPI 1225287196

Title

Owner

Phone

(310) 738-4232

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.

• Jacqueline G Woods, LMFT

  • Mental Health Counselor
  • Pasadena, CA
  • NPI 1225287196
  NPD (past) Authorized official

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

{
    "created_epoch": "1368230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368230400000",
    "number": "1457797953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81184",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911181184",
            "telephone_number": "310-738-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013113",
            "telephone_number": "310-738-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC TRAUMA TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-11",
        "last_updated": "2013-05-11",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "GIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-738-4232",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Medical Group
• Pacific Neuromodulation Inc
• Pacific Pace, LLC
• Pacific Pediatric Cardiology Medical Group Inc
• Pacific Reproductive Services, Inc.
• Pacific Valley Medical Group
• Pacita D. Franco, D.D.S., Inc.
• Jessica Paola Padilla Lara
• Christopher Padilla
• Cynthia Padilla

• Marriage & Family Therapist in Pasadena, CA
• Providers in 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 May 11, 2013; 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.