Active NPI
Shona Roberson
- Marriage & Family Therapist
- Pasadena, CA
National Provider Identifier
1740586338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 84932
- Practice address
- 867 N Fair Oaks Ave
Pasadena, CA 91103-3083 - Phone
- (626) 798-6793
- NPI assigned
- Jan 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 64833 | CA | |
| Marriage & Family Therapist | 106H00000X | 84932 | CA | Primary |
Addresses
Primary practice location
867 N Fair Oaks Ave
Pasadena, CA 91103-3083
Mailing address
867 N Fair Oaks Ave
Pasadena, CA 91103-3083
Phone (626) 798-6793
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 |
|---|---|---|---|
| IMF 64833 | CA | MD | Marriage & Family Therapist |
| 84932 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1740586338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "867 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033083",
"telephone_number": "626-798-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033083",
"telephone_number": "626-798-6793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "SHONA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-31",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 64833",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "84932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
- Robbin K. Okamoto DDS, Inc
- Wesley Robbins
- Jeffrey Christopher Robeff, RN
- Alfred Robenzadeh, MD
- Charles Richard Roberson Jr.
- Robert a Yoho MD a Professional Corporation
- Robert B. Seltzer, M.D., Inc.
- Robert H. Glass, PH.D. Psychological Corporation
- Robert Ritchie Ma
- Robert Siew MD a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.