Organization Active NPI

Irenic Family Therapy Professional Corp.

  • Marriage & Family Therapist
  • Cerritos, CA
National Provider Identifier
1588477657
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
IRENIC FAMILY THERAPY PROFESSIONAL CORP.
Practice address
19922 Gridley Rd
Cerritos, CA 90703-6723
Phone
(562) 397-2126
NPI assigned
Jan 30, 2025
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Berlinda Abrazado, LMFTNPI 1033492707
Title
Owner
Phone
(562) 397-2126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

19922 Gridley Rd
Cerritos, CA 90703-6723

Mailing address

19922 Gridley Rd
Cerritos, CA 90703-6723

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1588477657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19922 GRIDLEY RD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19922 GRIDLEY RD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036723",
            "telephone_number": "562-397-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENIC FAMILY THERAPY PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "ABRAZADO",
        "authorized_official_first_name": "BERLINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-397-2126",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.