NPIMap

Organization Active NPI

Fuller Psychological and Family Services

  • Student in an Organized Health Care Education/Training Program
  • Pasadena, CA
National Provider Identifier
1801374772
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
FULLER PSYCHOLOGICAL AND FAMILY SERVICES
Practice address
180 N Oakland Ave FL 2
Pasadena, CA 91101-1714
Phone
(626) 584-5555
NPI assigned
Aug 2, 2018
Last updated
Aug 2, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
FULLER THEOLOGICAL SEMINARYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Irene Rapp, LMFT
Title
Director of Training
Phone
(626) 584-5569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

180 N Oakland Ave FL 2
Pasadena, CA 91101-1714

Mailing address

180 N Oakland Ave FL 2
Pasadena, CA 91101-1714
Phone (626) 584-5555

National Provider Directory

National Provider Directory
Part of
Fuller Psychological and Family Services

Locations

180 N Oakland Ave
Fl 2
Pasadena, CA 91101
Phone (626) 373-8534

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1801374772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N OAKLAND AVE FL 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011714",
            "telephone_number": "626-584-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N OAKLAND AVE FL 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011714",
            "telephone_number": "626-584-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER PSYCHOLOGICAL AND FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FULLER THEOLOGICAL SEMINARY",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "RAPP",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "DIRECTOR OF TRAINING",
        "authorized_official_telephone_number": "626-584-5569",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "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 Aug 2, 2018; 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.