DR. KENNETH STEVEN SKALE (NPI# 1114206430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114206430 |
| Entity Type | Individual |
| Full Name | DR. KENNETH STEVEN SKALE |
| Credential | PSY.D. |
| Practice Address |
595 E Colorado Blvd Ste 533 Pasadena CA 91101 |
| Mailing Address |
595 E Colorado Blvd Ste 533 Pasadena CA 91101-5223 |
| Mailing Telephone | 3103579985 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY29006 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1322 N Avalon Blvd, Wilmington, CA 907442639 | 3105131300 |
| Street Address |
595 E COLORADO BLVD STE 533 |
| City | PASADENA |
| State | CA |
| Zip Code | 91101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669756995 | Linda M Ross | Case Manager/Care Coordinator | 595 E Colorado Blvd Ste 533, Pasadena, CA 91101-5223 | 2011-10-05 |
| 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 | 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.