DR. LINDA LEE BORTELL (NPI# 1134225139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134225139 |
| Entity Type | Individual |
| Full Name | DR. LINDA LEE BORTELL |
| Credential | PSY.D. |
| Practice Address |
625 Fair Oaks Ave Ste 270 South Pasadena CA 91030-5801 |
| Practice Telephone | 6267997941 |
| Practice Fax Number | 6264414893 |
| Mailing Telephone | 6267997941 |
| Mailing Fax Number | 6264414893 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY14708 | CA | Behavioral Health & Social Service Providers |
| Street Address |
625 FAIR OAKS AVE STE 270 |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578073078 | Joseph M Molina Md Professional Corporation- Southern California | Internal Medicine | 625 Fair Oaks Ave Ste 270, South Pasadena, CA 91030-5801 | 2017-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811531775 | Janet M. Kelley, Ph.d. Inc | Psychologist | 1605 Hope St Ste 210, South Pasadena, CA 91030-2670 | 2019-11-04 |
| 1023212453 | Matthew Grant Calkins | Psychologist | 1515 Hope St Ste 202, South Pasadena, CA 91030-2610 | 2007-06-11 |
| 1346384286 | Tyson Chung | Psychologist | 625 Fair Oaks Ave Ste 390, South Pasadena, CA 91030-5817 | 2007-02-16 |
| 1780724179 | Jessica L Hess | Psychologist | 1137 Huntington Dr Ste A2, South Pasadena, CA 91030-4580 | 2007-02-07 |
| 1699799437 | Catherine S Smith | Psychologist | 1605 Hope St, Suite 305, South Pasadena, CA 91030-2628 | 2006-07-26 |
| 1538707096 | Joseph Haig Dadourian | Psychologist | 1107 Fair Oaks Ave, #48, South Pasadena, CA 91030-3311 | 2019-12-16 |
| 1225563752 | Tmh Psychotherapy Corporation | Psychologist | 1605 Hope St, 335, South Pasadena, CA 91030-2628 | 2017-04-21 |
| 1639531312 | Iris Yolanda Lopez Luthi | Psychologist | 625 Fair Oaks Ave Ste 390, South Pasadena, CA 91030-5817 | 2016-03-22 |
| 1366812133 | Ferrer & Ho Psychology Corporation | Psychologist | 2130 Huntington Dr, Ste. 307, South Pasadena, CA 91030-4964 | 2015-10-05 |
| 1740685304 | Carrie Lynn Park | Psychologist | 1151 El Centro St, Suite B, South Pasadena, CA 91030-5721 | 2014-10-24 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
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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.