Provider Type Icon

CO-PADRES PSYCHOTHERAPEUTIC SERCICES NPI 1811435910


NPI Information

NPI: 1811435910
Provider Name: CO-PADRES PSYCHOTHERAPEUTIC SERCICES
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
460 E CARSON PLAZA DR
215
CARSON, CA
ZIP 90746
Phone: (714) 260-4517
Get Directions

CO-PADRES PSYCHOTHERAPEUTIC SERCICES is a marriage family therapist in Carson, CA. The provider is 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. CO-PADRES PSYCHOTHERAPEUTIC SERCICES NPI is 1811435910. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

460 E CARSON PLAZA DR
215
CARSON, CA
ZIP 90746-228
Phone: (714) 260-4517

The provider's authorized official is Sandra Barela .
The authorized official title is Owner and has the following contact phone number (714) 260-4517.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 2/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistMFT95361CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11891029468MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.