4610 Psychotherapy Services, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

4610 PSYCHOTHERAPY SERVICES, INC.

Practice address

13130 Rose St
Cerritos, CA 90703

Phone

(714) 595-7871

NPI assigned

Dec 11, 2025

Last updated

Dec 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Constance E. Shin, LMFT

Title

Owner/ Marriage Family Therapist

Phone

(714) 595-7871

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1508720863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11331 183RD ST # 179",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035434",
            "telephone_number": "714-595-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13130 ROSE ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "714-595-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4610 PSYCHOTHERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/ MARRIAGE FAMILY THERAPIST",
        "authorized_official_telephone_number": "714-595-7871",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Cerritos, 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 Dec 11, 2025; 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.