Tree of Life Healing, Inc.

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

TREE OF LIFE HEALING, INC.

Practice address

491 S Marengo Ave
Pasadena, CA 91101-3128

Phone

(818) 568-6982

NPI assigned

Oct 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Chris Tickner, MFTNPI 1699793687

Title

Owner

Phone

(818) 568-6982

Specialties & licenses 1

Addresses

Other names 1

• California Integrative Therapy Doing business as

Locations

Practitioners 1

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

• Chris Tickner, MA, MFT

  • Marriage & Family Therapist
  • Pasadena, CA
  • NPI 1699793687
  NPD Authorized official

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1659199339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013128",
            "telephone_number": "818-568-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013128",
            "telephone_number": "818-568-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE HEALING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "TICKNER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-568-6982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Integrative Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Group Psychotherapy Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Group Psychotherapy Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.