Ellen Mental Health Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC49020 Issued in CA

Legal business name

ELLEN MENTAL HEALTH INC

Practice address

5626 Sultana Ave Apt 3
Temple City, CA 91780-2374

Phone

(626) 827-0418

NPI assigned

Mar 30, 2018

Organization subpart

No

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

Authorized official

Name

Wylma Gibbs, MFC49020NPI 1295867901

Title

Marriage Family Therapist

Phone

(626) 827-0418

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wylma Gibbs Doing business as

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

• Wylma Joyce Gibbs, MFT

  • Marriage & Family Therapist
  • Pasadena, CA
  • NPI 1295867901
  NPD Authorized official
• Renee S Bond, LMFT

  • Marriage & Family Therapist
  • Temple City, CA
  • NPI 1518765544
  NPD

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1992201974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 SULTANA AVE APT 3",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802374",
            "telephone_number": "626-827-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626 SULTANA AVE APT 3",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802374",
            "telephone_number": "626-827-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "WYLMA",
        "authorized_official_title_or_position": "MARRIAGE FAMILY THERAPIST",
        "authorized_official_telephone_number": "626-827-0418",
        "authorized_official_credential": "MFC49020"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC49020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295867901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wylma Gibbs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dong You Health Center
• Dr. Jack Ma, DDS, Inc.
• Charlotte S. Duh
• Yi-Jung Karen Duh, N.P.
• Sarah Eghbali, P.A.
• Tanya Elmas
• Richard Eng
• Eric to Dental Group Inc
• Saidene A Escalante, M.A.ED., ED.S., PPS
• Ethan Park DMD Inc

• All providers in Temple City, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.