MS. FREDDIE DE ANDREA BLACK (NPI# 1457534026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457534026 |
| Entity Type | Individual |
| Full Name | MS. FREDDIE DE ANDREA BLACK |
| Practice Address |
21707 Hawthorne Blvd Suite 200 Torrance CA 90503-7009 |
| Practice Telephone | 3105439900 |
| Practice Fax Number | 3105439910 |
| Mailing Telephone | 3105439900 |
| Mailing Fax Number | 3105439910 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2015-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 52400 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
21707 HAWTHORNE BLVD SUITE 200 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-7009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952322547 | Nancy Ellen Silbert | Social Worker | 21707 Hawthorne Blvd, Suite 304, Torrance, CA 90503-7009 | 2006-07-21 |
| 1639739865 | Aglae Lopez | Case Manager/Care Coordinator | 21707 Hawthorne Blvd, Torrance, CA 90503-7009 | 2019-06-19 |
| 1659674547 | High Quality Hospice Care | Hospice Care, Community Based | 21707 Hawthorne Blvd, Suite 304, Torrance, CA 90503-7009 | 2010-12-15 |
| 1598996746 | Coastal Care Inc | Home Health | 21707 Hawthorne Blvd, Suite 106, Torrance, CA 90503-7009 | 2009-08-06 |
| 1417110834 | Performance Medical & Rehab Center | Family Medicine | 21707 Hawthorne Blvd, Suite 101, Torrance, CA 90503-7010 | 2008-07-07 |
| 1215121074 | City of Angels Home Health, Inc. | Home Health | 21707 Hawthorne Blvd, Suite 202, Torrance, CA 90503-7009 | 2007-09-04 |
| 1659570729 | Jennifer Zinola | Marriage & Family Therapist | 21707 Hawthorne Blvd, Suite 300, Torrance, CA 90503-7009 | 2007-07-17 |
| 1104941038 | Rose Marie Ortiz | Counselor | 21707 Hawthorne Blvd, Suite 300, Torrance, CA 90503-7009 | 2007-03-20 |
| 1649394537 | Dawn Jones | Marriage & Family Therapist | 21707 Hawthorne Blvd, Torrance, CA 90503-7009 | 2007-03-18 |
| 1346364387 | Lisa Rivo Peterson | Psychologist | 21707 Hawthorne Blvd, Suite 304, Torrance, CA 90503-7009 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| 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 |
|---|---|---|---|---|
| 1659982148 | Latonya Sampson-mcdonald | Marriage & Family Therapist | 23860 Hawthorne Blvd, Torrance, CA 90505-8200 | 2020-08-10 |
| 1720601206 | Libbys Place Inc. | Marriage & Family Therapist | 2008 W Carson St Ste 203, Torrance, CA 90501-0209 | 2020-05-19 |
| 1164043428 | Leyla Marcy Magpiong | Marriage & Family Therapist | 24445 Hawthorne Blvd Ste 200, Torrance, CA 90505-6562 | 2020-04-28 |
| 1912546292 | Brittany Rose Armstrong | Marriage & Family Therapist | 20028 Bellemare Ave, Torrance, CA 90503-2030 | 2020-01-03 |
| 1619514015 | Cynthia Barnes | Marriage & Family Therapist | 24050 Madison St Ste 205, Torrance, CA 90505-6017 | 2019-12-04 |
| 1609338045 | Yvonne Ho-lewis | Marriage & Family Therapist | 24520 Hawthorne Blvd Ste 103, Torrance, CA 90505-6847 | 2019-04-04 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1245700194 | Kristie Love | Marriage & Family Therapist | 23670 Hawthorne Blvd Ste 205, Torrance, CA 90505-5978 | 2018-12-04 |
| 1982179636 | Debra Lynn Kabrin | Marriage & Family Therapist | 23505 Crenshaw Blvd Ste 262, Torrance, CA 90505-5223 | 2018-10-09 |
| 1598242620 | Jeehye Kim | Marriage & Family Therapist | 1918 Plaza Del Amo Apt 1, Torrance, CA 90501-4409 | 2018-07-21 |
| Find all providers in TORRANCE | ||||
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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.