Blue Chair Family Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BLUE CHAIR FAMILY THERAPY

Practice address

2512 Artesia Blvd Ste 250F
Redondo Beach, CA 90278-5365

Phone

(424) 255-8483

NPI assigned

Feb 16, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy M Cornwall, LMFTNPI 1629575600

Title

Clinical Therapist/Director

Phone

(213) 379-6453

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Marie Cornwall, LMFT

  • Marriage & Family Therapist
  • Redondo Beach, CA
  • NPI 1629575600
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1093460388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 ARTESIA BLVD STE 250F",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902785365",
            "telephone_number": "424-255-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 ARTESIA BLVD STE 250F",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902785365",
            "telephone_number": "424-255-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CHAIR FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "CORNWALL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL THERAPIST/DIRECTOR",
        "authorized_official_telephone_number": "213-379-6453",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adalia Mae Bishopp
• Black and to Dental Corporation (Beach City Dental Group)
• Susan Joann Blackwell
• Diane Lisabeth Blagojevich, P.T.
• Bloom Family Wellness Center, LLC
• Blue Chair Foundation
• Blume Behavioral Health LLC
• Blume Family Therapy Center Inc
• Norbertamarie Veronica Bobe-Kollmeyer, M.S.
• Bodyentre Redondo BCH

• Marriage & Family Therapist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.