Active NPI
Dialogs With Life a Medical Corporation
- Marriage & Family Therapist
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 102496
- Legal business name
- DIALOGS WITH LIFE A MEDICAL CORPORATION
- Practice address
- 1055 E Colorado Blvd Ste 5190
Pasadena, CA 91106-2327 - Phone
- (213) 373-1938
- Fax
- (213) 226-0556
- NPI assigned
- Aug 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bernard Martin Douglas, LMFT
- Title
- President
- Phone
- (213) 373-1938
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 102496 | CA | Primary |
Addresses
Primary practice location
1055 E Colorado Blvd Ste 5190
Pasadena, CA 91106-2327
Mailing address
465 S Hudson Ave Apt 1
Pasadena, CA 91101-5007
Phone (213) 373-1938
Other practice location 1
6535 Wilshire Blvd Ste 103
Los Angeles, CA 90048-4962
Phone (213) 373-1938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102496 | Other | CA | MARRIAGE & FAMILY THERAPIST |
National Provider Directory
National Provider DirectoryLocations
1055 E Colorado Blvd
Ste 5190
Pasadena, CA 91106
Phone (213) 373-1938
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Los Angeles, CA
- NPI 1881077485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533254400000",
"number": "1508344235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 S HUDSON AVE APT 1",
"city": "PASADENA",
"state": "CA",
"postal_code": "911015007",
"telephone_number": "213-373-1938",
"fax_number": "213-226-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 E COLORADO BLVD STE 5190",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062327",
"telephone_number": "213-373-1938",
"fax_number": "213-226-0556"
}
],
"practiceLocations": [
{
"address_1": "6535 Wilshire Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900484962",
"country_code": "US",
"telephone_number": "213-373-1938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DIALOGS WITH LIFE A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-03",
"last_updated": "2018-08-03",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "BERNARD",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-373-1938",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "102496",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE & FAMILY THERAPIST",
"identifier": "102496",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.