SANDRA LYNN ERDELAC LMFT - NPI 1659494664 - Marriage & Family Therapist in Norwalk, CA

Q: What is Sandra Erdelac's NPI number?

The NPI number for Sandra Erdelac is 1659494664. It was assigned to this individual provider in the NPPES registry on April 6, 2007. The provider is also known as Miss Sandra Lynn Botello.

Q: What is Sandra Erdelac's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Erdelac was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Sandra Lynn Erdelac Lmft NPPES

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

SANDRA LYNN ERDELAC LMFT (NPI 1659494664) is an individual marriage & family therapist in Norwalk, California, licensed in California (LMFT47800) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659494664

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSANDRA LYNN ERDELACCredential: LMFT

Location Address12501 IMPERIAL HWY STE 400Norwalk, CA 90650-1419

Mailing Address12501 Imperial Hwy Ste 400Norwalk, CA 90650-1419 · (818) 807-6100 · Fax (562) 807-6111

Phone(818) 807-6100

Fax(562) 807-6111

Sole ProprietorYes

Enumeration DateApril 6, 2007

Last NPPES UpdateDecember 6, 2021

NPPES CertifiedDecember 6, 2021

✔ NPI 1659494664 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 · LMFT47800

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.

12501 IMPERIAL HWY STE 400, Norwalk, CA 90650

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Other Names 1

Former Name (1)Miss Sandra Lynn Botello

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Lynn Erdelac Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

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

MS. MYRA BOTELLO M.A.

Marriage & Family Therapist