DR. HOLLY LEIGH EDGE-BOOTH (NPI# 1144393778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144393778 |
| Entity Type | Individual |
| Full Name | DR. HOLLY LEIGH EDGE-BOOTH |
| Credential | PH.D. |
| Practice Address |
200 E Del Mar Blvd Suite 210 Pasadena CA 91105-2544 |
| Practice Telephone | 6268182748 |
| Mailing Telephone | 6268182748 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY20955 | CA | Behavioral Health & Social Service Providers |
| Street Address |
200 E DEL MAR BLVD SUITE 210 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578537908 | Louise Seto Lew Nagahori | Physical Therapy Assistant | 200 E Del Mar Blvd, #302, Pasadena, CA 91105-2544 | 2006-02-14 |
| 1205367158 | Carley Ann Wade | Occupational Therapist | 200 E Del Mar Blvd, Suite 112, Pasadena, CA 91105-2544 | 2017-03-22 |
| 1104378652 | Kaylee Kono | Occupational Therapist | 200 E Del Mar Blvd, Suite 112, Pasadena, CA 91105-2544 | 2016-11-01 |
| 1104376011 | Jane Cunha | Counselor | 200 E Del Mar Blvd, Suite 119, Pasadena, CA 91105-2544 | 2016-10-04 |
| 1437604220 | Ashley Sepeedeh Sohrab | Speech-Language Pathologist | 200 E Del Mar Blvd, Pasadena, CA 91105-2544 | 2016-08-22 |
| 1073965885 | Hanna Bogen | Speech-Language Pathologist | 200 E Del Mar Blvd, Suite 112, Pasadena, CA 91105-2544 | 2016-07-05 |
| 1093162208 | Carly Noelle Sanders | Occupational Therapist | 200 E Del Mar Blvd, Suite 112, Pasadena, CA 91105-2544 | 2016-05-17 |
| 1710357876 | Caitlin Ito | Occupational Therapist | 200 E Del Mar Blvd, #112, Pasadena, CA 91105-2544 | 2015-10-01 |
| 1891164299 | Elizabeth Blake Ballance | Physical Therapist | 200 E Del Mar Blvd, Suite 112, Pasadena, CA 91105-2544 | 2015-09-16 |
| 1902299704 | Gigi Jordan | Occupational Therapist | 200 E Del Mar Blvd, Pasadena, CA 91105-2544 | 2015-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302029 | Carr Psychological Corp | Clinical Neuropsychologist | 427 S Marengo Ave, #6, Pasadena, CA 91101 | 2016-09-01 |
| 1629395546 | Heleya Rad | Clinical Neuropsychologist | 2 N Lake Ave, Ste 800, Pasadena, CA 91101-1858 | 2010-05-02 |
| 1588862536 | Mona Mikael | Clinical Neuropsychologist | 65 N Madison Ave Ste 709, Pasadena, CA 91101-2046 | 2007-07-10 |
| 1275903205 | Oren R. Boxer, Ph.d., A Psychological Corporation | Clinical Neuropsychologist | 595 E Colorado Blvd, Mezzanine, Pasadena, CA 91101-2039 | 2015-10-02 |
| 1508176256 | Oren Boxer | Clinical Neuropsychologist | 595 E Colorado Blvd, Mezzanine, Pasadena, CA 91101-2039 | 2010-10-15 |
| 1528389251 | Andrew Carr | Clinical Neuropsychologist | 427 S Marengo Ave Ste 6, Pasadena, CA 91101-3134 | 2010-06-16 |
| 1306007802 | Donald Dean Hoagland | Clinical Neuropsychologist | 2810 E Del Mar Blvd, Ste 1, Pasadena, CA 91107 | 2008-06-18 |
| 1437341500 | Aileen Arratoonian | Clinical Neuropsychologist | 127 N. Madison Ave, Suite 204, Pasadena, CA 91101 | 2007-08-13 |
| 1760680433 | Linda M Philpott | Clinical Neuropsychologist | 10 Congress St, Suite 505, Pasadena, CA 91105-3023 | 2007-07-04 |
| 1831307248 | Stacy Sachiko Amano | Clinical Neuropsychologist | 180 N Oakland Ave, Pasadena, CA 91101-1714 | 2007-05-18 |
| 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.