Iyashema Redd, MFTI, PPS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF49096 Issued in CA

Practice address

190 Sierra CT
C-8
Palmdale, CA 93550-7607

Phone

(661) 266-4783

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Justyns Corner Child and Family Counseling Center, Inc.

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1659132520
  NPD Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114058740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26766 CLAUDETTE ST",
            "address_2": "UNIT 414",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913515588",
            "telephone_number": "661-266-4783",
            "fax_number": "661-266-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SIERRA CT",
            "address_2": "C-8",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507607",
            "telephone_number": "661-266-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDD",
        "first_name": "IYASHEMA",
        "credential": "MFTI, PPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF49096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oren Raz
• Karina Razo, FNP-C
• Colleen Reaback, PHYSICAL THERAPIST A
• Angelina Rebollar Mendoza
• Recovery 101
• Salem Alexander Redding, MSW
• Lugenia Lee Reddish, ASW
• Stacey Redondo
• Dionne D Reed, FNP
• Regional Diagnostic Imaging

• Marriage & Family Therapist in Palmdale, CA
• Providers in Palmdale, 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 Jul 8, 2007; 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.