Myra A Brackett, LMFT 50544

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

50544 Issued in CA

Practice address

205 Pasadena Ave
South Pasadena, CA 91030-2919

Phone

(626) 940-8365

Fax

(323) 344-5550

NPI assigned

Mar 22, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Institute for the Redesign of Learning

  dba Almansor Clinical Serivces

  • Marriage & Family Therapist
  • South Pasadena, CA
  • NPI 1124212295
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1497871305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PASADENA AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302919",
            "telephone_number": "626-940-8365",
            "fax_number": "323-344-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PASADENA AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302919",
            "telephone_number": "626-940-8365",
            "fax_number": "323-344-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "MYRA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LMFT 50544",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lee Bortell, PSY.D.
• Brittany Bostick
• Dorothy Marie Bourgeois de Apodaca, IBCLC
• Kalisha Boykin, LMFT
• Riley Lynn Bozich, ASSOCIATE MFT
• Moira-Cecily Brady-Rogers, LMFT
• Carey Elizabeth Braswell, M.ED., BCBA
• Brenda C. Smith M.D., Inc. (Womens Health Care Associates)
• Leah Ann Brignoni
• Elias Briseno

• Marriage & Family Therapist in South Pasadena, CA
• Providers in South Pasadena, 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 17, 2013; 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.