Emma Giselle Carbajal, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

51906 Issued in CA

Practice address

1801 Huntington Dr
Duarte, CA 91010-2686

Phone

(626) 993-3000

NPI assigned

Oct 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Emma Giselle Ceja de Anda Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Soultenders, Inc.

  • Clinical Psychologist
  • Arcadia, CA
  • NPI 1164617007
  Medicare reassignment
• Foothill Family Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duarte, CA
  • NPI 1114176070
  NPD (past)
• Foothill Family Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, CA
  • NPI 1386824100
  NPD (past)
• Foothill Family Service - Hudson

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, CA
  • NPI 1336275056
  NPD (past)
• Soultenders Psychological Services, Inc.

  • Clinical Social Worker
  • Arcadia, CA
  • NPI 1235810722
  NPD (past)

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1780837195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102686",
            "telephone_number": "626-993-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102686",
            "telephone_number": "626-993-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 E Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073464",
            "country_code": "US",
            "telephone_number": "626-564-1613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBAJAL",
        "first_name": "EMMA",
        "middle_name": "GISELLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "CEJA DE ANDA",
            "middle_name": "GISELLE",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marissa Cangin, PSYD
• David Eduardo Cantu Duran, M.D.
• Cantwell Medical Pharmacy Inc
• Alexandra Capasso, MS
• German L Caraang, N.P.
• Natalie Lynn Carbunaru, RN, NP
• Vivian Stephanie Cardona Gonzalez, B.A.
• Elizabeth Cardozo
• Yolanda Carlos
• Kylie Jenna Carpenter

• Marriage & Family Therapist in Duarte, CA
• Providers in Duarte, 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 Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.