Organization Active NPI

Pasadena Family Therapy

  • Mental Health Counselor
  • Encino, CA
National Provider Identifier
1477923514
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
46762 Issued in CA
Legal business name
PASADENA FAMILY THERAPY
Practice address
15720 Ventura Blvd
Suite 504
Encino, CA 91436-2914
Phone
(818) 749-9434
Fax
(866) 567-2239
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Morella Madely Hammer, MFTNPI 1588781918
Title
Owner
Phone
(818) 749-9434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 46762 CA Primary

Addresses

Primary practice location

15720 Ventura Blvd
Suite 504
Encino, CA 91436-2914

Mailing address

15720 Ventura Blvd
Suite 504
Encino, CA 91436-2914
Phone (818) 749-9434

National Provider Directory

National Provider Directory

Locations

15720 Ventura Blvd
Ste 504
Encino, CA 91436
Phone (818) 749-9434

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1477923514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD",
            "address_2": "SUITE 504",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362914",
            "telephone_number": "818-749-9434",
            "fax_number": "866-567-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD",
            "address_2": "SUITE 504",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362914",
            "telephone_number": "818-749-9434",
            "fax_number": "866-567-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "MORELLA",
        "authorized_official_middle_name": "MADELY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-749-9434",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "46762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.