CLINIC FOR ASSESSMENTS AND NEEDS OF DEVELOPMENTALLY DELAYED INDIVIDUAL (NPI# 1134423858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134423858 |
| Entity Type | Organization |
| Organization Name | CLINIC FOR ASSESSMENTS AND NEEDS OF DEVELOPMENTALLY DELAYED INDIVIDUAL |
| Other Organization Name | C.A.N.D.D.I. |
| Practice Address |
4519 Admiralty Way Suite C Marina Del Rey CA 90292-5441 |
| Practice Telephone | 4242592565 |
| Mailing Telephone | 4242592565 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |
| Authorized Official Name | JENNIFER MARIE WILLEMSEN (OWNER/MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Telephone | 4242592565 |
| Authorized Official Credential | M.A., LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 47315 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| C.A.N.D.D.I. | Doing Business As Name - Organization |
| Street Address |
4519 ADMIRALTY WAY SUITE C |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-5441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548399355 | David Leroy De Lange | Marriage & Family Therapist | 4519 Admiralty Way, Suite 200, Marina Del Rey, CA 90292-5441 | 2007-03-05 |
| 1922464502 | Carlos Rodriguez Chiropractic, Inc. | Chiropractor | 4519 Admiralty Way, Suite 208, Marina Del Rey, CA 90292-5441 | 2016-01-12 |
| 1932598828 | Rose Hickman Smith | Marriage & Family Therapist | 4519 Admiralty Way, Suite 202b, Marina Del Rey, CA 90292-5441 | 2015-01-14 |
| 1447580105 | Carlos Alberto Protzel | Psychologist | 4519 Admiralty Way, Suite 202-b, Marina Del Rey, CA 90292 | 2009-12-31 |
| 1477789410 | Jill K. Hirschman | Marriage & Family Therapist | 4519 Admiralty Way, #200, Marina Del Rey, CA 90292-5441 | 2009-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887884 | James Alexander Holland | Marriage & Family Therapist | 13524 Bali Way # F1216, Marina Del Rey, CA 90292-6915 | 2020-10-01 |
| 1184246464 | Haleh Keypour | Marriage & Family Therapist | 115 Roma Ct, Marina Del Rey, CA 90292-5968 | 2020-05-10 |
| 1871126342 | Alexandra Lippens | Marriage & Family Therapist | 910 Dickson St, Marina Del Rey, CA 90292-5513 | 2020-02-12 |
| 1205379930 | April Wright | Marriage & Family Therapist | 14000 Tahiti Way, P 311, Marina Del Rey, CA 90292-6592 | 2016-11-29 |
| 1841742426 | Eileen Paris | Marriage & Family Therapist | 415 Washington Blvd Apt 1110, Marina Del Rey, CA 90292-5090 | 2016-10-28 |
| 1336690270 | Jasmine Malekan | Marriage & Family Therapist | 13488 Maxella Ave Apt 530, Marina Del Rey, CA 90292-4318 | 2016-10-15 |
| 1962879122 | Eric B Carlson | Marriage & Family Therapist | 4551 Glencoe Ave Ste 255, Marina Del Rey, CA 90292-7924 | 2015-08-24 |
| 1093146946 | Linda Quesada-schlein | Marriage & Family Therapist | 4519 Admiralty Way Ste 206, Marina Del Rey, CA 90292-5428 | 2013-12-03 |
| 1578909586 | Anais Munoz-kelly | Marriage & Family Therapist | 4640 Admiralty Way Ste 318, Marina Del Rey, CA 90292-6637 | 2013-05-16 |
| 1750631180 | California Counseling Center | Marriage & Family Therapist | 4519 Admiralty Way #200, Marina Del Rey, CA 90292-5428 | 2012-09-13 |
| Find all providers in MARINA DEL REY | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
Please comment or provide details below to improve the information on CLINIC FOR ASSESSMENTS AND NEEDS OF DEVELOPMENTALLY DELAYED INDIVIDUAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.