Alex Van Fleet

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

89113 Issued in CA

Practice address

3030 E Colorado Blvd
Pasadena, CA 91107-3840

Phone

(626) 365-1211

NPI assigned

Dec 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1932670684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073840",
            "telephone_number": "626-365-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073840",
            "telephone_number": "626-365-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 E Colorado Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910165145",
            "country_code": "US",
            "telephone_number": "626-272-4908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN FLEET",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "89113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Alan Van Antwerp
• Weston Van Buskirk Barter
• Andre Van Commenee, P.T.
• Lilit Van Den Berg, MSW
• Cheryl Van Der Zaag, CHERYL VAN DER ZAAG
• Melissa Van Fossen
• Olivia Rose Van Sky
• Craig Arthur Van Woerkom, O.D.
• Stephanie Anne Van Zant
• Em Marie Van-Cartier, MA

• Marriage & Family Therapist in Pasadena, CA
• Providers in Pasadena, 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 Dec 6, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.