Organization Active NPI

Pax Therapy and Family Services

  • Marriage & Family Therapist
  • Whittier, CA
National Provider Identifier
1700309762
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PAX THERAPY AND FAMILY SERVICES
Practice address
15111 Whittier Blvd Ste 216
Whittier, CA 90603-2137
Phone
(562) 374-6416
Fax
(714) 586-8664
NPI assigned
Jul 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Kristin Martinez, LMFTNPI 1619249414
Title
Owner
Phone
(562) 273-2124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X CA Primary

Addresses

Primary practice location

15111 Whittier Blvd Ste 216
Whittier, CA 90603-2137

Mailing address

15111 Whittier Blvd Ste 216
Whittier, CA 90603-2137
Phone (562) 374-6416

Other practice location 1

13006 Philadelphia St Ste 308
Whittier, CA 90601-4253
Phone (562) 273-2124

Other practice location 2

13006 Philadelphia St Ste 210
Whittier, CA 90601-4272
Phone (562) 273-2124

National Provider Directory

National Provider Directory

Locations

9209 Colima Rd
Ste 3400
Whittier, CA 90605
Phone (714) 587-4543

13006 Philadelphia St
Ste 210
Whittier, CA 90601
Phone (562) 273-2124

15111 Whittier Blvd
Ste 216
Whittier, CA 90603
Phone (562) 374-6416

13006 Philadelphia St
Ste 308
Whittier, CA 90601
Phone (562) 273-2124

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1700309762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15111 WHITTIER BLVD STE 216",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032137",
            "telephone_number": "562-374-6416",
            "fax_number": "714-586-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15111 WHITTIER BLVD STE 216",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032137",
            "telephone_number": "562-374-6416",
            "fax_number": "714-586-8664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13006 Philadelphia St Ste 308",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906014253",
            "country_code": "US",
            "telephone_number": "562-273-2124",
            "fax_number": "562-273-2124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13006 Philadelphia St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906014272",
            "country_code": "US",
            "telephone_number": "562-273-2124",
            "fax_number": "562-273-2124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAX THERAPY AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-273-2124",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.