Alexander Pack, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

122915 Issued in CA

Practice address

530 Wilshire Blvd Ste 306
Santa Monica, CA 90401-1426

Phone

(424) 501-4016

NPI assigned

Dec 28, 2020

Last updated

Dec 28, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1467049270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WILSHIRE BLVD STE 306",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WILSHIRE BLVD STE 306",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011426",
            "telephone_number": "424-501-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Palisades Surgery Center and Medical Group Inc (Pacific Surgery Center of Santa Monica)
• Pacific Surgicenter
• Pacific View Recovery Center
• Pacific Wellcare Physical Therapy
• Pacific Wellness Group a Professional Marriage & Family Therapy Corp (Pacific Wellness Group)
• Paco Leadership Collective
• Carol Ann Paden
• Karyn Margaret Padilla
• Liana Padron
• Adam Paicely, DPT

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, 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 Dec 28, 2020; 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.