Maryann Aronsohn
Individual provider Active NPI Marriage & Family Therapist · South Pasadena, CA
NPI 1659802437 · NPPES record last updated Mar 23, 2017
Key facts
- NPI
- 1659802437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- #24791 (CA)
- Practice address
- 1910 Huntington Dr. #15
South Pasadena, CA 91030-4812 - Phone
- (626) 441-5131
- Fax
- (626) 389-4121
- NPI assigned
- Mar 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #24791 | CA | MD | Marriage & Family Therapist |
| 24791 | CA | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | #24791 | CA | Yes |
Addresses
Primary practice location
1910 Huntington Dr. #15
South Pasadena, CA 91030-4812
Mailing address
1910 Huntington Dr. #15
South Pasadena, CA 91030-4812
Phone (626) 441-5131
Other names
- Maryann Denmon
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All providers in South Pasadena, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.