Organization Active NPI

Patricia M. Anderson, LLC

  • Marriage & Family Therapist
  • Arcadia, CA
National Provider Identifier
1568734374
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC27011 Issued in CA
Legal business name
PATRICIA M. ANDERSON, LLC
Practice address
125 Wheeler Ave.
Suite G
Arcadia, CA 91006-3221
Phone
(626) 445-0555
Fax
(626) 445-0355
NPI assigned
Feb 9, 2012
Last updated
Feb 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Ms. Patricia Mary Anderson, M.F.T.NPI 1629443700
Title
Marriage & Family Therapist/Counsel
Phone
(626) 445-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MFC27011 CA
Mental Health Counselor 101YM0800X MFC27011 CA
Marriage & Family Therapist 106H00000X MFC27011 CA Primary

Addresses

Primary practice location

125 Wheeler Ave.
Suite G
Arcadia, CA 91006-3221

Mailing address

125 Wheeler Ave.
Suite G
Arcadia, CA 91006-3221
Phone (626) 445-0555

National Provider Directory

National Provider Directory

Locations

125 Wheeler Ave
Ste G
Arcadia, CA 91006
Phone (626) 445-0555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1568734374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WHEELER AVE.",
            "address_2": "SUITE G",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063221",
            "telephone_number": "626-445-0555",
            "fax_number": "626-445-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WHEELER AVE.",
            "address_2": "SUITE G",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063221",
            "telephone_number": "626-445-0555",
            "fax_number": "626-445-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA M. ANDERSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST/COUNSEL",
        "authorized_official_telephone_number": "626-445-0555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.F.T."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "MFC27011",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC27011",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC27011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.