Pam Mikolajczyk Marriage & Family Therapist, a Professional Corporatio

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

MFC40714 Issued in CA

Legal business name

PAM MIKOLAJCZYK MARRIAGE & FAMILY THERAPIST, A PROFESSIONAL CORPORATIO

Practice address

18 Oak St #197
Brentwood, CA 94513-1301

Phone

(925) 628-1516

NPI assigned

May 4, 2017

Organization subpart

No

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

Authorized official

Name

Pam Mikolajczyk

Title

President

Phone

(925) 628-1516

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Pamela L Mikolajczyk, MFT

  • Marriage & Family Therapist
  • Brentwood, CA
  • NPI 1730244351
  NPD (past)

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1538695945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OAK ST #197",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OAK ST #197",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131301",
            "telephone_number": "925-628-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM MIKOLAJCZYK MARRIAGE & FAMILY THERAPIST, A PROFESSIONAL CORPORATIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "MIKOLAJCZYK",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-628-1516"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "MFC40714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacresia Paige
• Kristin M Palmer, MS
• Rolf Gustav Palmer, MD
• Hasmin Palo
• Bianca Adriana Palomera
• Mary Regine Vida Balgua Panga
• John Panis
• Jenifer Helise Paraiso, LMFT
• Janisse Z Parilla
• Devin Pariseau

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.