Active NPI
Raelee Elba Hood
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1952513756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112494
- Practice address
- 1060 S Brookhurst Rd
Fullerton, CA 92833-3709 - Phone
- (714) 449-1339
- NPI assigned
- May 4, 2007
- Last updated
- Feb 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 112494 | CA | Primary |
Addresses
Primary practice location
1060 S Brookhurst Rd
Fullerton, CA 92833-3709
Mailing address
13128 Cullen St
Whittier, CA 90602-3036
Phone (562) 686-2553
Other practice location 1
10511 Mills Ave
Whittier, CA 90604-2440
Phone (562) 944-7953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112494 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Alcohol and Drug Programs, Inc. | Past | Accepting new patients | |
| Southern California Alcohol and Drug Programs, Inc. | Past | Accepting new patients |
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.
-
- Substance Abuse Rehabilitation Facility
- Whittier, CA
- NPI 1487198461
-
dba Foley House
- Children's Substance Abuse Rehabilitation Facility
- Whittier, CA
- NPI 1972688547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1952513756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13128 CULLEN ST",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906023036",
"telephone_number": "562-686-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 S BROOKHURST RD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928333709",
"telephone_number": "714-449-1339"
}
],
"practiceLocations": [
{
"address_1": "10511 Mills Ave",
"address_purpose": "LOCATION",
"city": "Whittier",
"state": "CA",
"postal_code": "906042440",
"country_code": "US",
"telephone_number": "562-944-7953",
"fax_number": "562-946-7494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOOD",
"first_name": "RAELEE",
"middle_name": "ELBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "112494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.