Lincoln Madley, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

133117 Issued in CA

Practice address

16 N Marengo Ave Ste 318
Pasadena, CA 91101-1971

Phone

(917) 533-6720

NPI assigned

Jul 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 13, 2024 through Feb 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Madley & Mink Psychotherapy Corporation

  • Marriage & Family Therapist
  • Pasadena, CA
  • NPI 1275301889
  NPD

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720713845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N MARENGO AVE STE 318",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011971",
            "telephone_number": "917-533-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N MARENGO AVE STE 318",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011971",
            "telephone_number": "917-533-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADLEY",
        "first_name": "LINCOLN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "133117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison 101 Pasadena LLC
• Madison 101 Pasadena, LLC
• Madison House
• Madison Radiology Medical Group, Inc.
• Madley & Mink Psychotherapy Corporation
• Jessica L Madore, BA
• Andy Madoyan
• Vazgen Aram Madoyan Sr., L.AC.,
• Diana Madrid
• Joanna Beatriz Madrid, B.A.

• Marriage & Family Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.