NPIMap

Organization Active NPI

Eft Resource Center

  • Psychologist
  • Pasadena, CA
National Provider Identifier
1962869354
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 19790 Issued in CA
Legal business name
EFT RESOURCE CENTER
Practice address
95 N Marengo Ave Ste 200
Pasadena, CA 91101-1746
Phone
(323) 633-6138
Fax
(626) 316-6650
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Dr. Lisa C Blum, PSY.D.NPI 1508903022
Title
Licensed Clinical Psychologist
Phone
(323) 633-6138

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY 19790 CA Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC86294 CA

Addresses

Primary practice location

95 N Marengo Ave Ste 200
Pasadena, CA 91101-1746

Mailing address

95 N Marengo Ave Ste 200
Pasadena, CA 91101-1746
Phone (323) 633-6138

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1962869354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 N MARENGO AVE STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011746",
            "telephone_number": "323-633-6138",
            "fax_number": "626-316-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N MARENGO AVE STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011746",
            "telephone_number": "323-633-6138",
            "fax_number": "626-316-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFT RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "323-633-6138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 19790",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC86294",
            "primary": false
        }
    ],
    "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 Jan 15, 2016; 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.