MR. BARRY MICHAEL BACKER (NPI# 1285758243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285758243 |
| Entity Type | Individual |
| Full Name | MR. BARRY MICHAEL BACKER |
| Credential | M.F.T. |
| Practice Address |
3737 Martin Luther King Jr Blvd Ste 612 Lynwood CA 90262-3537 |
| Practice Telephone | 3106032795 |
| Mailing Telephone | 3106032795 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC30292 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558610220 | Barry Philip Backer | Occupational Therapist | 2800 Highway Tt, Sedalia, MO 65301-1410 | 2012-09-10 |
| Street Address |
3737 MARTIN LUTHER KING JR BLVD STE 612 |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700900024 | Holly Lynn Pedersen | Marriage & Family Therapist | 3737 Martin Luther King Jr Blvd Ste 612, Lynwood, CA 90262-3537 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| 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 |
|---|---|---|---|---|
| 1225589146 | Alison Guydan | Marriage & Family Therapist | 2620 Industry Way Ste E, Lynwood, CA 90262-4042 | 2016-10-14 |
| 1003296872 | Iris Romero | Marriage & Family Therapist | 11705 Deputy Yamamoto Pl Ste B, Lynwood, CA 90262-4031 | 2015-06-05 |
| 1649678087 | Ana Laura Ruiz | Marriage & Family Therapist | 3224 Virginia St, Lynwood, CA 90262-4225 | 2014-12-17 |
| 1154687705 | Keisha Anthony | Marriage & Family Therapist | 2620 Industry Way Ste F, Lynwood, CA 90262-4042 | 2012-04-09 |
| 1326341058 | Takaisha Renee Rush | Marriage & Family Therapist | 3737 Martin Luther King Jr Blvd Ste 500, Lynwood, CA 90262-3533 | 2010-12-20 |
| 1740410208 | Anton Yanagisawa | Marriage & Family Therapist | 2640 Industry Way Ste G, Lynwood, CA 90262-4000 | 2009-07-19 |
| 1588890040 | Char Lee Stewart | Marriage & Family Therapist | 3680 E Imperial Hwy Ste 220, Lynwood, CA 90262-2663 | 2009-06-10 |
| 1811014798 | Jermaine Strickland | Marriage & Family Therapist | 3584 Martin Luther King Jr Blvd, Lynwood, CA 90262-2050 | 2007-03-23 |
| 1316071707 | Harry Leroy Fletcher Jr. | Marriage & Family Therapist | 12124 Bullis Rd Bldg H, Lynwood, CA 90262-5106 | 2007-03-15 |
| 1417564535 | Michelle Kari Kanani Thomson | Marriage & Family Therapist | 11682 Atlantic Ave, Lynwood, CA 90262-3832 | 2020-09-24 |
| Find all providers in LYNWOOD | ||||
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| 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.