MRS. SHANNON RENEE VANDERBERG (NPI# 1306073952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306073952 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON RENEE VANDERBERG |
| Other Name | MS. SHANNON RENEE WASHINGTON |
| Practice Address |
19231 Victory Blvd Ste 110 Reseda CA 91335-6321 |
| Practice Telephone | 8187084500 |
| Practice Fax Number | 8186541956 |
| Mailing Telephone | 8187084500 |
| Mailing Fax Number | 8186541956 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC90568 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7003 North Figueroa St., Los Angeles, CA 900416418 | 3235434233 | 3233447382 |
| Street Address |
19231 VICTORY BLVD STE 110 |
| City | RESEDA |
| State | CA |
| Zip Code | 91335-6321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386658714 | Los Angeles County Department of Mental Health | Clinic/Center | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2006-07-29 |
| 1811478944 | Kimberly Stephanie Recinos | Social Worker | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2018-08-27 |
| 1396111340 | Amanda Kristina Lawrence | Psychologist | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2015-08-13 |
| 1083014906 | Sandy Corina Equite-rodas | Psychologist | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2014-08-28 |
| 1215368758 | Michael Joseph Lee | Psychologist | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2013-12-10 |
| 1659708642 | Sarah Tallentire | Psychologist | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2013-10-04 |
| 1447503867 | Laura Aguilar | Social Worker | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2012-10-23 |
| 1134478449 | Christina L Nadel | Psychologist | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2012-08-31 |
| 1194952051 | Meredith A Hannan | Psychiatry & Neurology | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2009-06-18 |
| 1659528875 | Valerie Anne Ortega | Counselor | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
| 1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
| 1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
| 1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
| 1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
| 1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
| Find all providers in zip 91335 | ||||
| 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 |
|---|---|---|---|---|
| 1831751973 | Michelle Cullen | Marriage & Family Therapist | 19217 Archwood St, Reseda, CA 91335-5004 | 2019-06-28 |
| 1710454525 | Karen Ann Aubrey | Marriage & Family Therapist | 7322 Tampa Ave, Reseda, CA 91335-2467 | 2018-10-30 |
| 1639531247 | Kristine Lucia King | Marriage & Family Therapist | 18050 Vanowen St, Reseda, CA 91335-5638 | 2016-03-23 |
| 1295160778 | Jamie Lee Evert | Marriage & Family Therapist | 18014 Sherman Way, #223, Reseda, CA 91335-4643 | 2013-09-04 |
| 1700228780 | Mercedes Tamayo | Marriage & Family Therapist | 18567 Saticoy St Apt 48, Reseda, CA 91335-7438 | 2013-07-19 |
| 1811296858 | Ariel L Landrum | Marriage & Family Therapist | 6755 Lindley Ave, Reseda, CA 91335-5513 | 2011-03-16 |
| 1083854962 | Terri Marie Balady | Marriage & Family Therapist | 19231 Victory Blvd Ste 554, Reseda, CA 91335-6373 | 2009-03-04 |
| 1609916683 | Peter Joseph Cashorali | Marriage & Family Therapist | 7037 Zelzah Ave, Reseda, CA 91335-4834 | 2007-02-07 |
| 1326657768 | Justina Taban | Marriage & Family Therapist | 18050 Vanowen St, Reseda, CA 91335-5638 | 2020-07-30 |
| 1912532623 | Guidance Teletherapy Family Counseling Inc. | Marriage & Family Therapist | 6755 Lindley Ave, Reseda, CA 91335-5513 | 2020-03-03 |
| Find all providers in RESEDA | ||||
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| 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.