TARA CHRISTINE EGEMO (NPI# 1073078028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073078028 |
| Entity Type | Individual |
| Full Name | TARA CHRISTINE EGEMO |
| Credential | LMFT |
| Practice Address |
2627 Mission St San Marino CA 91108-1639 |
| Mailing Address |
6132 Zelzah Ave Encino CA 91316-7127 |
| Practice Telephone | 6198654783 |
| Mailing Telephone | 6198654783 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 105845 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2120 Huntington Dr Ste A, South Pasadena, CA 910304984 | 6267204471 |
| Street Address |
2627 MISSION ST |
| City | SAN MARINO |
| State | CA |
| Zip Code | 91108-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033233408 | Sylvia Yvonne Garcia | Marriage & Family Therapist | 2627 Mission St, San Marino, CA 91108-1639 | 2007-03-19 |
| 1821514332 | Lindsay Rosser | Social Worker | 2627 Mission St, San Marino, CA 91108-1639 | 2017-08-16 |
| 1528347739 | Lindsay Anne Rosser | Marriage & Family Therapist | 2627 Mission St, San Marino, CA 91108-1639 | 2011-08-05 |
| 1447412093 | Tricia Paige Walton | Marriage & Family Therapist | 2627 Mission St, San Marino, CA 91108-1639 | 2008-06-25 |
| 1891913968 | Ann Horton | Social Worker | 2627 Mission St, San Marino, CA 91108-1639 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235781808 | Bhc Alhambra Hospital, Inc. | Psychiatric Residential Treatment Facility | 1925 Lombardy Road, San Marino, CA 91108 | 2019-07-12 |
| 1649764374 | Cristine Philina Ong | Registered Nurse | 2233 Huntington Dr Ste 12, San Marino, CA 91108 | 2018-06-16 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1649729831 | Harvey A Luu | Dentist | 1085 Winston Ave, San Marino, CA 91108 | 2016-09-28 |
| 1629438643 | Ellen Marie Tan | Marriage & Family Therapist | 1625 So. Chelsea Rd. Ellen M. Tan, Mft, San Marino, CA 91108 | 2016-03-03 |
| 1144696592 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 375 Huntington Dr. Ste. D, San Marino, CA 91108 | 2015-08-19 |
| 1386068237 | Dorothy Agnes Mcvann | General Practice | 764 Winston Ave., San Marino, CA 91108 | 2014-02-13 |
| 1215372040 | Doctors Choice Medical Group | Exclusive Provider Organization | 2295-a Huntington Drive, San Marino, CA 91108 | 2013-05-07 |
| 1831449222 | Apcn-aco, A Medical Professional Corp | Exclusive Provider Organization | 2360 Huntington Drive #201, C/o Mso, Inc. of Southern California, San Marino, CA 91108 | 2012-09-13 |
| 1538499777 | Elsa Busch | Psychologist | 1420 Ridgeway Rd, San Marino, CA 91108 | 2010-01-11 |
| Find all providers in zip 91108 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629438643 | Ellen Marie Tan | Marriage & Family Therapist | 1625 So. Chelsea Rd. Ellen M. Tan, Mft, San Marino, CA 91108 | 2016-03-03 |
| 1740443233 | Miriam Bermudez | Marriage & Family Therapist | 2459 Mission St, San Marino, CA 91108-1635 | 2008-07-06 |
| 1013102011 | Megan Eileen Lundgren | Marriage & Family Therapist | 1390 Wembley Rd, San Marino, CA 91108-1940 | 2007-09-12 |
| 1437350717 | Kathleen Ann Moore-alpaugh | Marriage & Family Therapist | 1625 Chelsea Rd, San Marino, CA 91108-2419 | 2007-05-31 |
| 1033233408 | Sylvia Yvonne Garcia | Marriage & Family Therapist | 2627 Mission St, San Marino, CA 91108-1639 | 2007-03-19 |
| 1932555307 | Maricarmen Madrigal | Marriage & Family Therapist | 2459 Mission St, San Marino, CA 91108-1635 | 2016-05-04 |
| 1528347739 | Lindsay Anne Rosser | Marriage & Family Therapist | 2627 Mission St, San Marino, CA 91108-1639 | 2011-08-05 |
| 1174777908 | Susan Bredhoff | Marriage & Family Therapist | 2400 Mission St, #105, San Marino, CA 91108-1632 | 2008-11-06 |
| 1447412093 | Tricia Paige Walton | Marriage & Family Therapist | 2627 Mission St, San Marino, CA 91108-1639 | 2008-06-25 |
| 1689704561 | Megan Snyder-grossman | Marriage & Family Therapist | 2400 Mission St, San Marino, CA 91108-1632 | 2007-03-07 |
| Find all providers in SAN MARINO | ||||
| City | SAN MARINO |
| Zip Code | 91108 |
Please comment or provide details below to improve the information on TARA CHRISTINE EGEMO.
| 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.