MRS. MIREYA ELIZABETH BROCATTO-KECK (NPI# 1396056487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396056487 |
| Entity Type | Individual |
| Full Name | MRS. MIREYA ELIZABETH BROCATTO-KECK |
| Credential | LMFT |
| Practice Address |
11801 Pierce St Ste 200 Riverside CA 92505 |
| Mailing Address |
11801 Pierce St Ste 200 Riverside CA 92505-4400 |
| Practice Telephone | 9514325140 |
| Mailing Telephone | 9514325140 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 105113 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1414 8th St, New Orleans, LA 701153337 | 9515909307 | |
| 11801 Pierce St Ste 200, Riverside, CA 92505 | 9514325140 |
| Street Address |
11801 PIERCE ST STE 200 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932364098 | Rosa Elia Gomez | Counselor | 11801 Pierce St Ste 200, Riverside, CA 92505-4400 | 2008-07-28 |
| 1295332815 | Chandler Little | Behavioral Analyst | 11801 Pierce St Ste 200, Riverside, CA 92505-4400 | 2020-10-06 |
| 1205453248 | Esmeralda Nazario | Behavioral Analyst | 11801 Pierce St Ste 200, Riverside, CA 92505-4400 | 2020-06-25 |
| 1427680834 | Selena Perez | Behavioral Analyst | 11801 Pierce St Ste 200, Riverside, CA 92505-4400 | 2020-02-04 |
| 1174155584 | Elvira M Garcia | Behavioral Analyst | 11801 Pierce St Ste 200, Riverside, CA 92505-4400 | 2020-02-04 |
| 1326670738 | Joseph B Hill | Behavioral Analyst | 11801 Pierce St Ste 200, Riverside, CA 92505-4400 | 2020-02-04 |
| 1427693290 | Lia Gonzalez | Behavioral Analyst | 11801 Pierce St Ste 200, Riverside, CA 92505-4400 | 2019-11-15 |
| 1225673007 | Ariana Analucas | Behavioral Analyst | 11801 Pierce St Ste 200, Riverside, CA 92505-4400 | 2019-11-15 |
| 1215572094 | Andrea Eastman | Behavioral Analyst | 11801 Pierce St Ste 200, Riverside, CA 92505-4400 | 2019-11-15 |
| 1598300642 | Wise Mind Counseling Services Inc. | Marriage & Family Therapist | 11801 Pierce St Ste 200, Riverside, CA 92505-4400 | 2019-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| 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 |
|---|---|---|---|---|
| 1164029799 | Buchanan Family Foundation | Marriage & Family Therapist | 1410 3rd St Ste 12, Riverside, CA 92507-3422 | 2020-10-06 |
| 1801401211 | Sachin Kumar Mathur | Marriage & Family Therapist | 10934 Elkwood Cir, Riverside, CA 92503-5286 | 2020-09-11 |
| 1144839770 | Edgar Diaz Garcia | Marriage & Family Therapist | 5995 Palm Ave Apt I, Riverside, CA 92506-1912 | 2020-07-29 |
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1497381743 | Melissa Cherie Sanders | Marriage & Family Therapist | 5225 Canyon Crest Dr Ste 71-107, Riverside, CA 92507-6301 | 2020-03-19 |
| 1992330088 | Angie Garita | Marriage & Family Therapist | 8939 Christopher Pl, Riverside, CA 92503-3303 | 2020-03-09 |
| 1467086082 | Melanie Joy Harriss | Marriage & Family Therapist | 11801 Pierce St # 222, Riverside, CA 92505-4408 | 2020-02-24 |
| 1487296059 | Catherine Parra Haynes | Marriage & Family Therapist | 4344 Latham St, Riverside, CA 92501-0400 | 2019-10-15 |
| 1255973889 | Kimberly Ann Lloyd | Marriage & Family Therapist | 8625 Orchard Park Dr, Riverside, CA 92508-2984 | 2019-10-15 |
| 1255985248 | County of Riverside Mental Health | Marriage & Family Therapist | 3125 Myers St Bldg 2, Riverside, CA 92503-5527 | 2019-07-29 |
| Find all providers in RIVERSIDE | ||||
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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.