Katrina Mendoza Recto

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT122228 Issued in CA

Practice address

3350 E 7TH St # 615
Long Beach, CA 90804-5003

Phone

(213) 282-7427

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Prospect Family Therapy, a Professional Corporation

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1770125601
  NPD

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1487253282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 E 7TH ST # 615",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 E 7TH ST # 615",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045003",
            "telephone_number": "213-282-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA RECTO",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT122228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "AMFT122228",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "4510 E Pacific Coast Hwy Ste 540",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908046941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "3350 E 7th St # 615",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908045003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jean Mendiola
• Matteo Mendiola
• Itzel Mendoza Diego
• Marc Anthony Mendoza Franco
• Crystal Dianna Mendoza Hurtado, LCSW
• Kyra M Mendoza-James, PSY.D.
• Alexis Yvette Mendoza
• Anna Marie Mendoza
• Antonio Mendoza
• Barbara Mendoza

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long 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 Jun 27, 2023; 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.