JERTY A. RELLOSA (NPI# 1427435841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427435841 |
| Entity Type | Individual |
| Full Name | JERTY A. RELLOSA |
| Other Name | JERTY ANN RELLOSA |
| Practice Address |
22110 Roscoe Blvd Suite 204 Canoga Park CA 91304-3845 |
| Practice Telephone | 8187138700 |
| Practice Fax Number | 8187138585 |
| Mailing Telephone | 8187138700 |
| Mailing Fax Number | 8187138585 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 86157 | CA | Behavioral Health & Social Service Providers |
| Street Address |
22110 ROSCOE BLVD SUITE 204 |
| City | CANOGA PARK |
| State | CA |
| Zip Code | 91304-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750379152 | Avakian, Inc. | Pharmacist | 22110 Roscoe Blvd, Suite 105, Canoga Park, CA 91304-3845 | 2005-10-10 |
| 1972146983 | Nahid Modabber | Counselor | 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304 | 2019-10-22 |
| 1699286534 | Melody Olvera | Counselor | 22110 Roscoe Blvd, Canoga Park, CA 91304-3845 | 2017-10-18 |
| 1013382787 | Kelly Willard | Case Manager/Care Coordinator | 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304-3845 | 2015-12-07 |
| 1790162113 | Jodi Freedman | Counselor | 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304-3845 | 2015-05-05 |
| 1275920241 | Valley Women's Center | Case Management | 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304-3845 | 2015-04-17 |
| 1346637261 | Whitney Bowman | Counselor | 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304-3845 | 2015-04-17 |
| 1275963811 | Susan Armour | Counselor | 22110 Roscoe Blvd, Canoga Park, CA 91304-3845 | 2013-11-18 |
| 1932539889 | Jennifer Ortiz | Counselor | 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304-3845 | 2013-11-13 |
| 1609206572 | Samantha Carole Collins | Counselor | 22110 Roscoe Blvd, Suite # 204, Canoga Park, CA 91304-3845 | 2013-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447860861 | A Plus Rainbow Hospice, Inc. | Hospice Care, Community Based | 8374 Topanga Canyon Blvd Suite 207, Canoga Park, CA 91304 | 2020-08-01 |
| 1447874516 | California Care Wellness Medical Center Inc. | Internal Medicine | 8374 Topanga Canyon Blvd Ste 210, Canoga Park, CA 91304 | 2020-06-03 |
| 1871129288 | Trusted Home Health Care Services | Home Health | 8374 Topanga Blvd, Unit 211, Canoga Park, CA 91304 | 2020-03-17 |
| 1356822951 | Rebecca Richmond | Nurse Practitioner | 8900 De Soto Ave, Canoga Park, CA 91304 | 2018-08-22 |
| 1225553142 | Safety Med Transport Inc. | Non-emergency Medical Transport (VAN) | 8374 Topanga Canyon Blvd Unit 211, Canoga Park, CA 91304 | 2017-08-11 |
| 1487014262 | American Unique Staff Provider | Home Health | 8761 De Soto Ave, Suite 127, Canoga Park, CA 91304 | 2016-03-07 |
| 1013376532 | Salia Ashtiani | Behavioral Analyst | 7624 Royer Avenue, West Hills, CA 91304 | 2016-02-11 |
| 1598156119 | Rita M. Antolin Dds A Professional Corporation | Health Maintenance Organization | 21301a Saticoy Street, Canoga Park, CA 91304 | 2015-02-18 |
| 1609290188 | Jennifer Gonzales Asuncion | Physical Therapist | 8306 Kentland Ave., West Hills, CA 91304 | 2014-02-05 |
| 1174873897 | Norman Carabet | General Practice | 7730 Graystone Dr, West Hills, CA 91304 | 2012-09-11 |
| Find all providers in zip 91304 | ||||
| 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 |
|---|---|---|---|---|
| 1154754596 | Liliana Maria Rodriguez | Marriage & Family Therapist | 21731 Napa St, Canoga Park, CA 91304-2530 | 2013-08-20 |
| 1992015499 | Kami Amber Leonard | Marriage & Family Therapist | 21201 Victory Blvd Ste 200, Canoga Park, CA 91303 | 2010-10-18 |
| 1306064985 | Raul Lara | Marriage & Family Therapist | 22030 Sherman Way Ste 316, Canoga Park, CA 91303-2206 | 2007-04-21 |
| 1528184280 | Luann Rollens | Marriage & Family Therapist | 6800 Owensmouth Ave Ste 310, Canoga Park, CA 91303-4245 | 2007-03-22 |
| 1548391592 | Adria Beth Scovel | Marriage & Family Therapist | 21045 Hart St, Canoga Park, CA 91303-2223 | 2007-03-08 |
| 1720142540 | Linda M Simon | Marriage & Family Therapist | 19725 Sherman Way, Suite 250, Canoga Park, CA 91306 | 2006-12-19 |
| 1689775512 | Mythili Jaganath | Marriage & Family Therapist | 22048 Sherman Way Ste 307, Canoga Park, CA 91303 | 2006-09-25 |
| 1699791509 | Laura V Capizzi-nelson | Marriage & Family Therapist | 7334 Topanga Cyn Blvd, #213, Canoga Park, CA 91303 | 2006-07-14 |
| 1861417719 | Tamara S. Mowbray | Marriage & Family Therapist | 21201 Victory Blvd, Ste 200, Canoga Park, CA 91303-2866 | 2006-07-13 |
| 1154391902 | Irving Dacre Croshier | Marriage & Family Therapist | 7041 Owensmouth Ave, #202, Canoga Park, CA 91303-2057 | 2006-01-25 |
| Find all providers in CANOGA PARK | ||||
| City | CANOGA PARK |
| Zip Code | 91304 |
Please comment or provide details below to improve the information on JERTY A. RELLOSA.
| 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.