MS. JUDY LEE INGOLDSBY (NPI# 1003093360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003093360 |
| Entity Type | Individual |
| Full Name | MS. JUDY LEE INGOLDSBY |
| Credential | MA |
| Practice Address |
1910 Huntington Dr South Pasadena CA 91030-4812 |
| Practice Telephone | 6264412868 |
| Practice Fax Number | 6264416389 |
| Mailing Telephone | 6264412868 |
| Mailing Fax Number | 6264416389 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2009-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC24964 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CIGNA BEHAVIORAL HEALTH | 1003093360 | 01 |
| CA | PACIFICARE | 1003093360 | 01 |
| CA | HEALTH NET | 1003093360 | 01 |
| CA | UNITED BEHAVIORAL HEALTH | 1003093360 | 01 |
| CA | BLUE SHIELD | 1003093360 | 01 |
| CA | ANTHEM BLUE CROSS | 1003093360 | 01 |
| CO | UNITED HEALTH CARE | 1003093360 | 01 |
| CA | AETNA | 1003093360 | 01 |
| CA | MANAGED HEALTH NETWORK | 1003093360 | 01 |
| Street Address |
1910 HUNTINGTON DR |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790792471 | Masano Seo Siu | Marriage & Family Therapist | 1910 Huntington Dr, South Pasadena, CA 91030 | 2006-08-02 |
| 1598212391 | Language To Learning, Inc | Specialist/Technologist | 1910 Huntington Dr, Apt# 8, South Pasadena, CA 91030-4886 | 2016-09-08 |
| 1982159737 | Daria Balling | Marriage & Family Therapist | 1910 Huntington Dr, Apt. #15, South Pasadena, CA 91030-4886 | 2016-08-22 |
| 1457776213 | Daniel James Grimm | Marriage & Family Therapist | 1910 Huntington Dr, South Pasadena, CA 91030-4812 | 2014-03-03 |
| 1003230558 | La Family Counseling Inc | Community/Behavioral Health | 1910 Huntington Dr, Ste 10, South Pasadena, CA 91030-4812 | 2014-02-04 |
| 1811310691 | Center for Japanese Mental Health | Voluntary or Charitable | 1910 Huntington Dr, Ste 10, South Pasadena, CA 91030-4812 | 2014-01-29 |
| 1285914614 | Erin Glowe | Speech-Language Pathologist | 1910 Huntington Dr, Suite 18, South Pasadena, CA 91030-4812 | 2011-08-17 |
| 1487958674 | Joanna Razo | Marriage & Family Therapist | 1910 Huntington Dr, Suite 16, South Pasadena, CA 91030-4812 | 2011-01-01 |
| 1801102132 | Burgess Psychological, Inc. | Community/Behavioral Health | 1910 Huntington Dr, South Pasadena, CA 91030-4812 | 2010-08-24 |
| 1477741270 | Mary Mcleod Stoddard | Psychologist | 1910 Huntington Dr, South Pasadena, CA 91030-4812 | 2007-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265055156 | Lauren Maher | Marriage & Family Therapist | 1401 Fair Oaks Ave, South Pasadena, CA 91030-6204 | 2020-05-26 |
| 1265944557 | Sara Justine Maison | Marriage & Family Therapist | 1135 Pasadena Ave S Ste 327b, South Pasadena, FL 33707-6425 | 2017-10-26 |
| 1659802437 | Maryann Aronsohn | Marriage & Family Therapist | 1910 Huntington Dr. #15, South Pasadena, CA 91030-4812 | 2017-03-23 |
| 1689041253 | Kathleen Telser | Marriage & Family Therapist | 1910 Huntington Dr Unit 18, South Pasadena, CA 91030-4887 | 2015-08-30 |
| 1316361991 | Tomomi Mikawa | Marriage & Family Therapist | 1910 Huntington Dr Unit 13, South Pasadena, CA 91030-4887 | 2014-02-18 |
| 1235407958 | Ria Severance | Marriage & Family Therapist | 1910 Huntington Dr # 16, South Pasadena, CA 91030-4812 | 2011-12-08 |
| 1801194881 | April Gwyn Nelson Afoa | Marriage & Family Therapist | 1910 Huntington Dr Unit 2, South Pasadena, CA 91030-4887 | 2011-03-01 |
| 1205163946 | Janet Lee Jackson | Marriage & Family Therapist | 505 El Centro St, South Pasadena, CA 91030-3010 | 2009-11-16 |
| 1740410497 | Gary D Hayashi | Marriage & Family Therapist | 1000 Fremont Ave Ste D, South Pasadena, CA 91030-3225 | 2009-07-15 |
| 1811104649 | Miwa Hitsumoto | Marriage & Family Therapist | 1910 Huntington Dr Unit 10, South Pasadena, CA 91030-4887 | 2007-05-17 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.