| Sandbox Family Services | |
|
595 E Colorado Blvd Ste 433 Pasadena CA 91101-2057 | |
| (626) 578-5501 | |
| Not Available |
| Full Name | Sandbox Family Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 595 E Colorado Blvd Ste 433, Pasadena, California |
| Authorized Official Name and Position | Jazmine Ortiz Ulibarri (CEO) |
| Authorized Official Contact | 6265131801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandbox Family Services 595 E Colorado Blvd Ste 433 Pasadena CA 91101-2057 Ph: (626) 578-5501 | Sandbox Family Services 595 E Colorado Blvd Ste 433 Pasadena CA 91101-2057 Ph: (626) 578-5501 |
| NPI Number | 1821688532 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Medicare PECOS PAC ID | 8921536319 |
|---|---|
| Medicare Enrollment ID | O20250113003242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821688532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Vanesha Joy Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700364775 PECOS PAC ID: 4587196639 Enrollment ID: I20241015001740 |
| Provider Name | Jazmine Ortiz Ulibarri |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598199630 PECOS PAC ID: 9830627223 Enrollment ID: I20250128001923 |
| Provider Name | Susana Macias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053078568 PECOS PAC ID: 8426587700 Enrollment ID: I20250131000940 |
| Provider Name | Lisa E Moss |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770117962 PECOS PAC ID: 6002345394 Enrollment ID: I20250131001333 |
| Provider Name | Norma R Ghassemian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659850048 PECOS PAC ID: 5092244392 Enrollment ID: I20250131001749 |
| Provider Name | John Cabonce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902369762 PECOS PAC ID: 1759811722 Enrollment ID: I20250205002857 |
| Provider Name | Angela Zhang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346899861 PECOS PAC ID: 4486184389 Enrollment ID: I20250207000004 |
| Provider Name | Martha Giselle Silva |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306341037 PECOS PAC ID: 5395275291 Enrollment ID: I20250207000006 |
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