Active NPI
Michael Pearson/South Bay Therapy
- Marriage & Family Therapist
- Redondo Beach, CA
National Provider Identifier
1003681081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- MICHAEL PEARSON/SOUTH BAY THERAPY
- Practice address
- 2413 Burritt Ave
Redondo Beach, CA 90278-1501 - Phone
- (310) 936-8840
- NPI assigned
- Nov 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Alan Pearson, LMFT
- Title
- Owner
- Phone
- (310) 936-8840
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
2413 Burritt Ave
Redondo Beach, CA 90278-1501
Mailing address
1500 Rosecrans Ave Ste 500
Manhattan Beach, CA 90266-3771
Phone (310) 936-8840
National Provider Directory
National Provider Directory- Tax ID family
- Michael Pearsonsouth Bay Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Marriage & Family Therapist
- Redondo Beach, CA
- NPI 1356122626
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Redondo Beach, CA
- NPI 1740314376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736553600000",
"number": "1003681081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 ROSECRANS AVE STE 500",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902663771",
"telephone_number": "310-936-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2413 BURRITT AVE",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902781501",
"telephone_number": "310-936-8840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL PEARSON/SOUTH BAY THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-20",
"last_updated": "2025-01-11",
"certification_date": "2025-01-11",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-936-8840",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.