Institute for the Redesign of Learning
Organization Active NPI Marriage & Family Therapist · Commerce, CA
NPI 1003036641 · NPPES record last updated Nov 11, 2022
Key facts
- NPI
- 1003036641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- INSTITUTE FOR THE REDESIGN OF LEARNING
- Practice address
- 5900 S Eastern Ave Ste 138
Commerce, CA 90040-4020 - Phone
- (323) 344-5536
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Nancy Lavelle
- Title
- Owner
- Phone
- (323) 344-5536
Practitioners 45
-
Cristin Alatorre, AMFT
-
Samantha Bandstra, ASW
-
Shardel Hodge Matthews, LMFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230606000170 | CA | Part B Supplier - Clinic/Group Practice | 7517324619 | Practice locations: Commerce, CA |
National Provider Directory
Locations
5900 S Eastern Ave
Ste 138
Commerce, CA 90040
Phone (323) 344-5536
99 Pasadena Ave
South Pasadena, CA 91030
Phone (213) 607-4439
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | Yes | ||
| Psychiatry Physician |
2084P0800X | |||
| Rehabilitation Practitioner |
225400000X |
Addresses
Primary practice location
5900 S Eastern Ave Ste 138
Commerce, CA 90040-4020
Mailing address
5900 S Eastern Ave Ste 138
Commerce, CA 90040-4020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7368 | Other | CA | ALMANSOR |
| 7368 | Other | CA | MEDICAL |
| 7184 | Other | CA | ALMANSOR |
| 7667 | Other | CA | MEDICAL |
Other names
- Almansor Clinical Services
Other providers in Commerce, CA
- Hooman Imani
- In Physician Associates, a Professional Medical Corportation
- Indigenous Circle of Wellness; Individual, Couple, Family Counseling
- Infinite Business Solutions
- Aracely Iniguez
- Institute for the Redesign of Learning
- Enrique Efrain Iribe
- Althea Irvins
- Lashone R Island
- Francisco Islas
All providers in Commerce, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.