DESIREE EILEEN MIRANDA VEGA (NPI# 1225222557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225222557 |
| Entity Type | Individual |
| Full Name | DESIREE EILEEN MIRANDA VEGA |
| Credential | MFT |
| Practice Address |
11145 Tampa Ave Ste 15a Northridge CA 91326 |
| Mailing Address |
1662 Fremont Ave Simi Valley CA 93065-4524 |
| Practice Telephone | 8184273891 |
| Practice Fax Number | 8188557428 |
| Mailing Telephone | 8184273891 |
| Mailing Fax Number | 8188557428 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMF50330 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23822 Valencia Blvd Ste 203, Valencia, CA 913555344 | 8184273891 | 8188557428 |
| Street Address |
11145 TAMPA AVE STE 15A |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891051496 | Alejandra Trujillo Garcia | Marriage & Family Therapist | 11145 Tampa Ave Ste 15a, Northridge, CA 91326-2265 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172989 | Carrie Jain | Speech-Language Pathologist | 20341 Livorno Way, Porter Ranch, CA 91326 | 2017-05-25 |
| 1932583143 | Karyn L Delichte | Student in an Organized Health Care Education/Training Program | 20280 Sorrento Lane, Unit 203, Porter Ranch, CA 91326 | 2015-07-17 |
| 1104239995 | Fadia Zaky Shehata | Anesthesiology | 19012 Vist Grande Wy, Porterranch, CA 91326 | 2014-06-09 |
| 1992058291 | Beverly Hills Anesthesia Group, LLC | Anesthesiology | 11177 Tampa Ave, Suite B, Northridge, CA 91326 | 2012-10-24 |
| 1922386416 | Estela Hauser | Physician Assistant | 19950 Rinaldi Street, Suite 100, Northridge, CA 91326 | 2011-08-01 |
| 1528351459 | Alina Katsman | Family Medicine | 19950 Rinaldi St., Ste 300, Porter Ranch, CA 91326 | 2011-05-25 |
| 1073811899 | Terry M. Mcelroy Inc. | Nurse Anesthetist, Certified Registered | 11931 Eddleston Dr., Northridge, CA 91326 | 2011-03-02 |
| 1265664304 | Karine Yeghoyan | Internal Medicine | 11200 Corbin Street, 200, Porter Ranch, CA 91326 | 2009-08-21 |
| 1609003276 | Pacific Pharmacy Group | Pharmacy | 19550 Rinaldi Street, Suite 102, Northridge, CA 91326 | 2009-06-22 |
| 1558505321 | David Dae-young Kim | Internal Medicine | 19950 Rinaldi St, Suite 310, Port Ranch, CA 91326 | 2009-04-24 |
| Find all providers in zip 91326 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982264636 | Jaimie T Barnett | Marriage & Family Therapist | 9700 Reseda Blvd Ste 203b, Northridge, CA 91324-5509 | 2019-06-15 |
| 1235601444 | Grace Peprah | Marriage & Family Therapist | 19037 Community Street, Northridge, CA 91324 | 2018-12-28 |
| 1861976193 | Elaine Stover | Marriage & Family Therapist | 19610 Romar St, Northridge, CA 91324-1031 | 2018-09-22 |
| 1174011431 | Maricela Rios Gefter | Marriage & Family Therapist | 8523 Melvin Ave, Northridge, CA 91324-4136 | 2018-04-23 |
| 1104324086 | Darline Hallie Meskiel | Marriage & Family Therapist | 16909 Parthenia St Ste 103, Northridge, CA 91343-4557 | 2018-01-25 |
| 1902323827 | Rita T. Baer, Lmft, Inc. | Marriage & Family Therapist | 18917 Nordhoff St. #18, Northridge, CA 91324-4823 | 2017-08-23 |
| 1245681485 | Vanessa C Alba | Marriage & Family Therapist | 9017 Reseda Blvd Ste 204, Northridge, CA 91324-3985 | 2016-06-29 |
| 1679965941 | Joseph Dolowy IIi | Marriage & Family Therapist | 19169 Lahey St Unit 3, Ste. 3, Northridge, CA 91326-1606 | 2015-02-24 |
| 1144622325 | Scott Murdock Williams | Marriage & Family Therapist | 9335 Reseda Blvd Ste 700, Northridge, CA 91324-2981 | 2014-09-19 |
| 1710255930 | Franklin David Shapiro | Marriage & Family Therapist | 18201 Chatsworth St, Northridge, CA 91326-3207 | 2011-12-02 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91326 |
Please comment or provide details below to improve the information on DESIREE EILEEN MIRANDA VEGA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.