Miriam Bermudez, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

45636 Issued in CA

Practice address

2459 Mission St
San Marino, CA 91108-1635

Phone

(626) 252-7964

NPI assigned

Jul 6, 2008

Last updated

Jan 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• El Molino Family Therapy

  • Marriage & Family Therapist
  • South Pasadena, CA
  • NPI 1427892462
  NPD Authorized official

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

{
    "created_epoch": "1215302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1740443233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 MISSION ST",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081560",
            "telephone_number": "626-252-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 MISSION ST",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081635",
            "telephone_number": "626-252-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "MIRIAM",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-06",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara L. Janetzke, PHD
• Daron Mitchell Barclay, D.C.
• Bardi Pak Chen Dental Corp
• Badr Fadel Barsoum, DENTIST
• Catherine L Barth, PA-C
• Bethesda Hospice, Inc
• BHC Alhambra Hospital, Inc. (Reasons Residential San Marino)
• Terry Ann Bissell, M.D.
• Lorna Blanco, M.D.
• Blockdare Inc

• Marriage & Family Therapist in San Marino, CA
• Providers in San Marino, 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 Jan 12, 2017; 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.