Freddie De Andrea Black

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

52400 Issued in CA

Practice address

21707 Hawthorne Blvd
Suite 200
Torrance, CA 90503-7009

Phone

(310) 543-9900

Fax

(310) 543-9910

NPI assigned

Dec 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1457534026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21707 HAWTHORNE BLVD",
            "address_2": "SUITE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905037009",
            "telephone_number": "310-543-9900",
            "fax_number": "310-543-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21707 HAWTHORNE BLVD",
            "address_2": "SUITE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905037009",
            "telephone_number": "310-543-9900",
            "fax_number": "310-543-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "FREDDIE",
        "middle_name": "DE ANDREA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bita Kerendian DDS Inc
• Christopher Bitcon
• Erin Mane Bitcon
• Muleta F Bitew
• Briana Sue Black, M.A., CF-SLP
• James Black, M.D.
• Jason Linville Black, NURSE PRACTITIONER
• Melissa Black
• Misty Michelle Black, D.D.S.
• Tabitha Tamara Black

• Marriage & Family Therapist in Torrance, CA
• Providers in Torrance, 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 Jan 22, 2015; 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.