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OTIS NMN BROOME JR.
NPI 1164077830
Marriage & Family Therapist in Pasadena, CA

Active since August 08, 2019
100 W WALNUT ST STE 375, PASADENA, CA 91124(626) 395-7100 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2019, Aug 8, 2019 (2 updates tracked since 2019).

About Otis Nmn Broome Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTIS NMN BROOME JR. (NPI 1164077830) is an individual marriage & family therapist in Pasadena, California and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1164077830
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameOTIS NMN BROOME JR.
Location Address100 W WALNUT ST STE 375Pasadena, CA 91124-0001
Mailing Address100 W Walnut St Ste 375Pasadena, CA 91124-0001 · (626) 395-7100
Phone(626) 395-7100
Sole ProprietorNo
Enumeration DateAugust 8, 2019
Last NPPES UpdateSeptember 25, 20192 updates tracked since enumeration
✔ NPI 1164077830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
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.
100 W WALNUT ST STE 375, Pasadena, CA 91124
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARNI MUENZER
Marriage & Family Therapist
100 W WALNUT ST STE 375
PASADENA, CA 91124
Los Angeles County (626) 395-7100
GEORGIE IRENE ROGERS M.A.
Marriage & Family Therapist
100 W WALNUT ST STE 375
PASADENA, CA 91124
Los Angeles County (626) 395-7100
LANEISHA HATHCOCK
Student in an Organized Health Care Education/Training Program
100 W WALNUT ST STE 375
PASADENA, CA 91124
Los Angeles County (626) 395-7100
RAFAEL ANDRES SALGADO
Licensed Psychiatric Technician
100 W WALNUT ST STE 375
PASADENA, CA 91124
Los Angeles County (626) 395-7100
CAROLINE COUTO
Student in an Organized Health Care Education/Training Program
100 W WALNUT ST STE 375
PASADENA, CA 91124
Los Angeles County (626) 395-7100
ANDREA LT. REINA SICA
Community Health Worker
100 W WALNUT ST STE 375
PASADENA, CA 91124
Los Angeles County (626) 395-7100
CLARA VARA ESCAMILLA
Rehabilitation Practitioner
100 W WALNUT ST STE 375
PASADENA, CA 91124
Los Angeles County (626) 395-7100
MADISON BESSER LMFT
Marriage & Family Therapist
100 W WALNUT ST STE 375
PASADENA, CA 91124
Los Angeles County (626) 395-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Otis Broome's NPI number?

The NPI number for Otis Broome is 1164077830. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Where is Otis Broome located?

Otis Broome practices at 100 W Walnut St Ste 375, Pasadena, CA 91124. The listed phone number is (626) 395-7100.

What is Otis Broome's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Otis Broome was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.