Airam Yasmeen Recendez, PSYCHOLOGY

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

501 W Broadway Ste 800
San Diego, CA 92101-3546

Phone

(951) 907-4895

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Airam Yasmeen Recendez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1679145072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462",
            "telephone_number": "855-832-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W BROADWAY STE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013546",
            "telephone_number": "951-907-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECENDEZ",
        "first_name": "AIRAM",
        "middle_name": "YASMEEN",
        "name_prefix": "Mrs.",
        "credential": "PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "2KXNKV4I",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": "2KXNKV4I",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIRAM",
            "last_name": "RECENDEZ",
            "middle_name": "YASMEEN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rebound Medical LLC
• Robert Will Reboya Gonzalez, IDC
• Jeffrey Recasas
• Michael Recasas, RCP
• Kirsten Gaelle Villa Reccion
• Andrew Stephen Rechner
• Sasha Recht, DNP, FNP-BC
• Patrick Recinto, PHARM.D.
• Kathryn Recker, O.D.
• Nicole Claudette Record, D.O.

• Behavior Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.