MARILYN MAXIMO (NPI# 1902029002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902029002 |
| Entity Type | Individual |
| Full Name | MARILYN MAXIMO |
| Credential | MFT |
| Practice Address |
130 W Victoria St Gardena CA 90248-3523 |
| Mailing Address |
Po Box 642622 Los Angeles CA 90064-7174 |
| Practice Telephone | 3107152020 |
| Mailing Telephone | 3103974596 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2013-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 65348 | CA | Behavioral Health & Social Service Providers |
| Street Address |
130 W VICTORIA ST |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-3523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619055175 | Ellinor Nepomuceno Soriano | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2006-11-01 |
| 1427597731 | Gladis Rendon | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2017-02-20 |
| 1982080016 | Ivette Nava | Rehabilitation Practitioner | 130 W Victoria St, Gardena, CA 90248-3523 | 2015-07-30 |
| 1437555752 | Rosalinda Erazo | Counselor | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-11-13 |
| 1588060081 | Maria Borja | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-11-10 |
| 1114320173 | Guadalupe Solache | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-10-06 |
| 1225431539 | Taklai Li | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-09-30 |
| 1710301650 | Mireya Nohemy Romero | Rehabilitation Practitioner | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-02-12 |
| 1437572872 | Vanessa Denisse Fernandez | Rehabilitation Practitioner | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-01-21 |
| 1548690811 | Elizabeth Prado | Rehabilitation Practitioner | 130 W Victoria St, Gardena, CA 90248-3523 | 2013-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| 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 |
|---|---|---|---|---|
| 1306225628 | Ashley Mayeaux | Marriage & Family Therapist | 2908 W 135th Pl, Gardena, CA 90249-2302 | 2015-05-19 |
| 1316330145 | Lupita Martinez | Marriage & Family Therapist | 15120 Atkinson Ave Ste 7, Gardena, CA 90249 | 2015-03-18 |
| 1336570738 | Hector G Cabral | Marriage & Family Therapist | 15328 S Saint Andrews Pl, Gardena, CA 90249-4217 | 2013-12-10 |
| 1184902678 | Mona Dolores Rich | Marriage & Family Therapist | 15508 S Western Ave, Suite #203, Gardena, CA 90249-4326 | 2011-08-01 |
| 1952549230 | Michelle Elka Jones | Marriage & Family Therapist | 108 Westt Victoria Street, Gardena, CA 90248-6441 | 2009-01-26 |
| 1376707554 | Lyubov Burgina | Marriage & Family Therapist | 14903 S Normandie Ave Apt 214, Gardena, CA 90247-2968 | 2008-07-16 |
| 1598898009 | Sherrie L Obrien | Marriage & Family Therapist | 555 W Redondo Beach Blvd, Suite 204, Gardena, CA 90248-1612 | 2007-03-13 |
| 1134257512 | Monica Ariana Jaquez | Marriage & Family Therapist | 879 W 190th St Ste 400, Gardena, CA 90248-4223 | 2007-02-28 |
| 1083783906 | Stan Benoit | Marriage & Family Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2006-11-07 |
| 1619055175 | Ellinor Nepomuceno Soriano | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2006-11-01 |
| Find all providers in GARDENA | ||||
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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.