FULLER THEOLOGICAL SEMINARY (NPI# 1013126036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013126036 |
| Entity Type | Organization |
| Organization Name | FULLER THEOLOGICAL SEMINARY |
| Other Organization Name | FULLER PSYCHOLOGICAL AND FAMILY SERVICES |
| Practice Address |
180 North Oakland Avenue Pasadena CA 91101-1714 |
| Mailing Address |
180 North Oakland Avenue Pasadena CA 91101 |
| Practice Telephone | 6265845555 |
| Practice Fax Number | 6265845558 |
| Mailing Telephone | 6265845555 |
| Mailing Fax Number | 6265845558 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-12-23 |
| Authorized Official Name | MR. THEOPOLIS COSSE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6265845566 |
| Authorized Official Credential | PSYD, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers | |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 102L00000X | Psychoanalyst | Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | CA | Behavioral Health & Social Service Providers | |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | CA | Behavioral Health & Social Service Providers | |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Fuller Psychological and Family Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | FULLER THEOLOGICAL SEMINARY | 135 N Oakland Ave, Pasadena, CA 91182 |
| Washington State Corporations | FULLER THEOLOGICAL SEMINARY | 135 N Oakland Ave, Pasadena, CA 91182-0001 |
| Street Address |
180 NORTH OAKLAND AVENUE |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253177 | Ascend Behavior Consultants LLC | Community/Behavioral Health | 680 E Colorado Blvd, Pasadena, CA 91101-6143 | 2020-07-28 |
| 1437797024 | Elevate Concierge Health, LLC | Community/Behavioral Health | 1280 Afton St, Pasadena, CA 91103-2303 | 2019-12-15 |
| 1841853645 | Prince Health Care Services Inc | Community/Behavioral Health | 8000 Jumpers Hole Rd Ste 212, Pasadena, MD 21122-1046 | 2019-04-17 |
| 1659839298 | North East Los Angeles Psychology | Community/Behavioral Health | 380 S Lake Ave Ste 205, Pasadena, CA 91101-5063 | 2019-03-02 |
| 1972053726 | Five Acres- The Boys' and Girls' Aid Society of Los Angeles County | Community/Behavioral Health | 1236 Solita Rd, Pasadena, CA 91103-2452 | 2016-10-05 |
| 1326591090 | Lead Way Behavioral Services | Community/Behavioral Health | 177 E Colorado Blvd # 200, Pasadena, CA 91105-1986 | 2016-07-29 |
| 1689090169 | Shiloh Center Music Theraphy Services LLC | Community/Behavioral Health | 819 E Pasadena Rd, Pasadena, MD 21122-4002 | 2014-03-08 |
| 1649694324 | Behavior Frontiers | Community/Behavioral Health | 155 N Lake Ave Ste 800, Pasadena, CA 91101-1857 | 2014-02-14 |
| 1609149459 | Whole Mind Wellness Services | Community/Behavioral Health | 32 S Raymond Ave Ste 3b, Pasadena, CA 91105-1961 | 2012-02-09 |
| 1154649564 | D'veal Family and Youth Services | Community/Behavioral Health | 1905 Lincoln Ave, Pasadena, CA 91103-1315 | 2010-05-10 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.