Organization Active NPI

Poppy Peak Individual and Family Therapy, Inc.

  • Marriage & Family Therapist
  • South Pasadena, CA
National Provider Identifier
1831880954
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
POPPY PEAK INDIVIDUAL AND FAMILY THERAPY, INC.
Practice address
1510 Oxley St Ste J
South Pasadena, CA 91030-5748
Phone
(626) 790-8221
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Kristina Bartek, LMFTNPI 1689965907
Title
Owner
Phone
(626) 790-8221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1510 Oxley St Ste J
South Pasadena, CA 91030-5748

Mailing address

1510 Oxley St Ste J
South Pasadena, CA 91030-5748
Phone (626) 790-8221

National Provider Directory

National Provider Directory

Locations

1510 Oxley St
Ste J
South Pasadena, CA 91030
Phone (626) 790-8221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1831880954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 OXLEY ST STE J",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305748",
            "telephone_number": "626-790-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 OXLEY ST STE J",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305748",
            "telephone_number": "626-790-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPPY PEAK INDIVIDUAL AND FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "BARTEK",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-790-8221",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.