Active NPI
Maria Carolina Recendez, MA, BA
- Marriage & Family Therapist
- Commerce, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 69504
- Practice address
- 1436 Goodrich Blvd
Commerce, CA 90022-5111 - Phone
- (323) 725-1337
- NPI assigned
- Oct 25, 2011
- Last updated
- Mar 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 69504 | CA | Primary |
Addresses
Primary practice location
1436 Goodrich Blvd
Commerce, CA 90022-5111
Mailing address
904 S 4TH St
Montebello, CA 90640-6225
Phone (323) 726-1514
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3208 Rosemead Blvd
Suite 100
El Monte, CA 91731-2830
Phone (626) 227-7001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69504 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enki Health Services, Inc. | Current | Accepting new patients | |
| Enki Health Services, Inc. | Current | Accepting new patients |
Locations
6001 Clara St
Bell Gardens, CA 90201
Phone (562) 806-5000
150 E Olive Ave
Ste 203
Burbank, CA 91502
Phone (818) 973-4899
1436 Goodrich Blvd
Commerce, CA 90022
Phone (323) 725-1337
3208 Rosemead Blvd
Ste 100
El Monte, CA 91731
Phone (626) 227-7001
160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1932230638
-
- Community/Behavioral Health Agency
- Commerce, CA
- NPI 1366574188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1639455421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 S 4TH ST",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906406225",
"telephone_number": "323-726-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1436 GOODRICH BLVD",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900225111",
"telephone_number": "323-725-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECENDEZ",
"first_name": "MARIA",
"middle_name": "CAROLINA",
"credential": "MA, BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "69504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.