Provider Demographics
NPI:1629656897
Name:CELINE M PAGANINI PSYCHOTHERAPY INC
Entity Type:Organization
Organization Name:CELINE M PAGANINI PSYCHOTHERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CELINE
Authorized Official - Middle Name:MARILL
Authorized Official - Last Name:PAGANINI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:323-380-0017
Mailing Address - Street 1:322 S PADRE JUAN AVE
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-2232
Mailing Address - Country:US
Mailing Address - Phone:323-380-0017
Mailing Address - Fax:
Practice Address - Street 1:322 S PADRE JUAN AVE
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-2232
Practice Address - Country:US
Practice Address - Phone:323-380-0017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty