Active NPI
Kristina Bartek
- Marriage & Family Therapist
- Pasadena, CA
National Provider Identifier
1689965907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 84302
- Practice address
- 446 S Marengo Ave
Suite a
Pasadena, CA 91101-3113 - Phone
- (626) 267-7489
- NPI assigned
- Apr 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 84302 | CA | Primary |
Addresses
Primary practice location
446 S Marengo Ave
Suite a
Pasadena, CA 91101-3113
Mailing address
446 S Marengo Ave
Suite a
Pasadena, CA 91101-3113
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
| License | State | Type | Specialty |
|---|---|---|---|
| 84302 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poppy Peak Individual and Family Therapy, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- South Pasadena, CA
- NPI 1831880954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1689965907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 S MARENGO AVE",
"address_2": "SUITE A",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 S MARENGO AVE",
"address_2": "SUITE A",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013113",
"telephone_number": "626-267-7489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTEK",
"first_name": "KRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-20",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "84302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.