Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nia Nichelle Ada Medlock

Individual provider Adult Mental Health Clinic/Center · NPI 1194316877

Nia Nichelle Ada Medlock is an Adult Mental Health Clinic/Center in Pasadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

691 E Washington Blvd
Pasadena, CA 91104-5003
Phone: (323) 963-0086
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (CA)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1194316877
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2021
Last updated in NPPESFebruary 5, 2021
Certification dateFebruary 5, 2021

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