Individual provider Active NPI

Roger Sherwood Nolan Jr., PSYD, LMFT

  • Marriage & Family Therapist
  • San Marino, CA
National Provider Identifier
1578828885
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT50759 Issued in CA
Practice address
2650 Mission St Ste 210
San Marino, CA 91108-1631
Phone
(626) 371-0048
NPI assigned
Jul 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT50759 CA Primary

Addresses

Primary practice location

2650 Mission St Ste 210
San Marino, CA 91108-1631

Mailing address

409 Garfield Ave
South Pasadena, CA 91030-2208
Phone (818) 281-2523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT50759CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1578828885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 GARFIELD AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302208",
            "telephone_number": "818-281-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 MISSION ST STE 210",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081631",
            "telephone_number": "626-371-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "ROGER",
        "middle_name": "SHERWOOD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PSYD, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT50759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.