Provider Demographics
NPI:1902409816
Name:RITBLATT, NERIYAH SIMCHAH (LMFT)
Entity Type:Individual
Prefix:
First Name:NERIYAH
Middle Name:SIMCHAH
Last Name:RITBLATT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 501695
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92150-1695
Mailing Address - Country:US
Mailing Address - Phone:858-215-2456
Mailing Address - Fax:
Practice Address - Street 1:11315 RANCHO BERNARDO RD STE 129
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-1463
Practice Address - Country:US
Practice Address - Phone:858-746-7018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-21
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA123105106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist