Raiza Mazas Crisanto

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

112649 Issued in CA

Practice address

150 N Santa Anita Ave Ste 300
Arcadia, CA 91006-3116

Phone

(424) 326-3577

NPI assigned

Apr 1, 2016

Last updated

Jul 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nebula Marriage and Family Therapy Corp.

  • Marriage & Family Therapist
  • Arcadia, CA
  • NPI 1538742689
  NPD (past)

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1568825073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SANTA ANITA AVE STE 300",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063116",
            "telephone_number": "424-326-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N SANTA ANITA AVE STE 300",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063116",
            "telephone_number": "424-326-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZAS CRISANTO",
        "first_name": "RAIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4425-R",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximum Care Providers, Inc
• Maxtops Speech Therapy Corporation (Maxtops Therapy)
• Marcia Maxwell, LCSW
• Jasmine May, BCAT, RBT
• Stephanie Mayekawa
• Susan Abigail McCarrel, L.C.S.W. D.C.S.W.
• Marjorie Eleanor McCoy
• Jamie Lee McDonough
• Keith Wayne McDow, LPT
• William Wagner McFadden

• Marriage & Family Therapist in Arcadia, CA
• Providers in Arcadia, 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 23, 2024; 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.