Active NPI
Maxa Ott
- Psychoanalyst
- Pasadena, CA
National Provider Identifier
1801116520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- MFC32747
- Practice address
- 595 E Colorado Blvd
Suite 332
Pasadena, CA 91101-2039 - Phone
- (626) 449-3045
- NPI assigned
- Jun 3, 2010
- Last updated
- Jun 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | MFC34727 | CA | |
| Psychoanalyst | 102L00000X | MFC32747 | CA | Primary |
Addresses
Primary practice location
595 E Colorado Blvd
Suite 332
Pasadena, CA 91101-2039
Mailing address
595 E Colorado Blvd
Suite 332
Pasadena, CA 91101-2039
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 |
|---|---|---|---|
| MFC32747 | CA | MD | Psychoanalyst |
| MFC34727 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1801116520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 E COLORADO BLVD",
"address_2": "SUITE 332",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 E COLORADO BLVD",
"address_2": "SUITE 332",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012039",
"telephone_number": "626-449-3045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "MAXA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC34727",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "MFC32747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.