DR. SUZANNE MARIE LAKE (NPI# 1023048410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023048410 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE MARIE LAKE |
| Credential | PSY.D. |
| Practice Address |
2810 E Del Mar Blvd Suite A Pasadena CA 91107-4321 |
| Practice Telephone | 6267958148 |
| Mailing Telephone | 6267958148 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY13922 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053705418 | Suzanne Lake | Speech-Language Pathologist | 1450 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-2387 | 2015-03-24 |
| 1851545008 | Suzanne Rae Lake | Pharmacist | 738 Fulton St W, Grand Rapids, MI 49504-6320 | 2008-11-13 |
| Street Address |
2810 E DEL MAR BLVD SUITE A |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295294296 | Donald Wayne Lee | Marriage & Family Therapist | 2810 E Del Mar Blvd, Pasadena, CA 91107-4321 | 2019-03-19 |
| 1144522251 | Nikki Cavalier | Social Worker | 2810 E Del Mar Blvd, #10b, Pasadena, CA 91107-4321 | 2010-11-22 |
| 1275854879 | Fernando Jose Gutierrez | Psychologist | 2810 E Del Mar Blvd, 11a, Pasadena, CA 91107-4321 | 2010-06-17 |
| 1700018223 | M A Saunders, A Psychological Corp | Psychologist | 2810 E Del Mar Blvd, Suite 4, Pasadena, CA 91107-4321 | 2009-08-17 |
| 1306007802 | Donald Dean Hoagland | Clinical Neuropsychologist | 2810 E Del Mar Blvd, Ste 1, Pasadena, CA 91107 | 2008-06-18 |
| 1255525671 | Angineh Carol Abkarian I | Psychologist | 2810 E Del Mar Blvd, Pasadena, CA 91107-4321 | 2007-08-29 |
| 1578757001 | Farinha and Associates | Psychologist | 2810 E Del Mar Blvd, Ste 4, Pasadena, CA 91107-4321 | 2007-08-28 |
| 1174715569 | Jennifer Levis | Psychologist | 2810 E Del Mar Blvd, Suite 8, Pasadena, CA 91107-4321 | 2007-08-09 |
| 1225231343 | Lakana S Nicolas | Social Worker | 2810 E Del Mar Blvd, Pasadena, CA 91107-4321 | 2007-06-06 |
| 1679775100 | Haraszti & Associates | Psychologist | 2810 E Del Mar Blvd, Suite 8, Pasadena, CA 91107-4321 | 2007-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401260 | James Chavers Jr. | Psychologist | 335 Cherry Dr, Pasadena, CA 91105-2150 | 2020-09-12 |
| 1801416847 | Insight Personal and Family Therapy, Inc | Psychologist | 65 N Madison Ave Ste 601, Pasadena, CA 91101-2047 | 2020-04-20 |
| 1780222059 | Nevena Mojsilovic | Psychologist | 107 S Fair Oaks Ave Ste 223229, Pasadena, CA 91105-2010 | 2019-12-17 |
| 1366009060 | Hathaway Sycamores Child and Family Services | Psychologist | 2101 E Washington Blvd, Pasadena, CA 91104-1825 | 2019-05-29 |
| 1417514209 | Hathaway Sycamores Child and Family Services | Psychologist | 515 E Ashtabula St, Pasadena, CA 91104-4306 | 2019-05-28 |
| 1447817010 | Samantha Miller | Psychologist | 107 S Fair Oaks Ave Ste 219, Pasadena, CA 91105-2082 | 2019-05-20 |
| 1639533029 | Biljana Bujko | Psychologist | 745 S Marengo Ave Ste 202, Pasadena, CA 91106-4739 | 2016-04-11 |
| 1477919454 | Armine Melkonyan | Psychologist | 595 E Colorado Blvd Ste 409, Pasadena, CA 91101-2018 | 2016-01-07 |
| 1073982344 | Safe Harbor Christian Counseling of Annapolis | Psychologist | 206 Pleasantview Ave, Pasadena, MD 21122-4042 | 2015-09-17 |
| 1861869489 | Supatra Hanna Tovar | Psychologist | 1000 E Walnut St Ste 246, Pasadena, CA 91106-5370 | 2015-08-31 |
| 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.