Provider Demographics
NPI:1285255976
Name:CHAPMAN MARRIAGE AND FAMILY THERAPY, INC
Entity type:Organization
Organization Name:CHAPMAN MARRIAGE AND FAMILY THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LMFT
Authorized Official - Prefix:MS
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMFT
Authorized Official - Phone:626-231-1987
Mailing Address - Street 1:540 E CALIFORNIA BLVD APT B
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3835
Mailing Address - Country:US
Mailing Address - Phone:626-231-1987
Mailing Address - Fax:
Practice Address - Street 1:65 N MADISON AVE STE 601
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2047
Practice Address - Country:US
Practice Address - Phone:626-231-1987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CASEY CHAPMAN LMFT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health