Individual provider Active NPI

Patricia Sevi Speelman, M.A, LMFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1528459146
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
44756 Issued in CA
Practice address
3703 Long Beach Blvd Ste 400
Long Beach, CA 90807-3332
Phone
(562) 427-3897
NPI assigned
Feb 18, 2015
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 44756 CA Primary

Addresses

Primary practice location

3703 Long Beach Blvd Ste 400
Long Beach, CA 90807-3332

Mailing address

3703 Long Beach Blvd Ste 400
Long Beach, CA 90807-3332
Phone (562) 427-3897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126003212 CA Practitioner - Marriage and Family Therapist 9830624923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aleksandra Wirga, M.D., Inc.Group PAC ID 3072649722, 12 clinicians

Practice addresses (Care Compare)

3703 Long Beach Blvd
Suite 400
Long Beach, CA 90807-3332
Phone (562) 427-3897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
44756CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aleksandra Wirga, M.D., Inc. CurrentSince Nov 1, 2024 Accepting new patients

Locations

3505 Long Beach Blvd
Ste 2D
Long Beach, CA 90807
Phone (562) 424-5505

3703 Long Beach Blvd
Ste 400
Long Beach, CA 90807
Phone (562) 427-3897

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1528459146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 LONG BEACH BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073332",
            "telephone_number": "562-427-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 LONG BEACH BLVD STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073332",
            "telephone_number": "562-427-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEELMAN",
        "first_name": "PATRICIA",
        "middle_name": "SEVI",
        "name_prefix": "Ms.",
        "credential": "M.A, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.