MRS. SAMANTHA MILLER REDONDO MS, AMFT - NPI 1437847068 - Marriage & Family Therapist in Alhambra, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Mrs. Samantha Miller Redondo Ms, Amft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SAMANTHA MILLER REDONDO MS, AMFT (NPI 1437847068) is an individual marriage & family therapist in Alhambra, California, licensed in California (120870) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437847068

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. SAMANTHA MILLER REDONDOCredential: MS, AMFT

Location Address1961 W HUNTINGTON DR STE 202Alhambra, CA 91801-1222

Mailing Address1961 W Huntington Dr Ste 202Alhambra, CA 91801-1222 · (626) 275-2644

Phone(626) 275-2644

Sole ProprietorYes

Enumeration DateMay 1, 2023

NPPES CertifiedMay 1, 2023

✔ NPI 1437847068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 120870

Definition

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.

1961 W HUNTINGTON DR STE 202, Alhambra, CA 91801

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Mrs. Samantha Miller Redondo Ms, Amft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2026.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK DAVID HASSAN PH.D.

Psychologist (Psychoanalysis)