Carissa Deblasi

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT133888 Issued in CA

Practice address

1514 3Rd St
Manhattan Beach, CA 90266-6302

Phone

(310) 683-8411

NPI assigned

Feb 7, 2023

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1487350716",
    "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": "310-571-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 3RD ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666302",
            "telephone_number": "310-683-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLASI",
        "first_name": "CARISSA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT133888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amin Davari, M.D.
• Julie Davidge
• Brian Davis, M.D.
• Melina Arceli De Leon, M.A. BCBA
• Kevin Dean, MPT
• Katherine Debuayan
• Delta Healthcare Providers
• Nicole Demasi Malcher, MS, RD, CDCES
• Ruth C Demonteverde, M.D.
• Denise Chyette, Physical Therapist, Inc.

• Marriage & Family Therapist in Manhattan Beach, CA
• Providers in Manhattan 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 7, 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.