1588212328 NPI number — EVELYN BEATRIZ SCHMITT LMFT LPCC

Table of content: EVELYN BEATRIZ SCHMITT LMFT LPCC (NPI 1588212328)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588212328 NPI number — EVELYN BEATRIZ SCHMITT LMFT LPCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHMITT
Provider First Name:
EVELYN
Provider Middle Name:
BEATRIZ
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFT LPCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RODRIGUEZ
Provider Other First Name:
EVELYN
Provider Other Middle Name:
BEATRIZ
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1588212328
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2144
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTEBELLO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90640-8044
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3208 ROSEMEAD BLVD STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL MONTE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91731-2830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-227-7001
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/26/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  137404 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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