SAN MARINO PSYCHIATRIC HOSPITALISTS, INC (NPI# 1164811691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164811691 |
| Entity Type | Organization |
| Organization Name | SAN MARINO PSYCHIATRIC HOSPITALISTS, INC |
| Practice Address |
2400 Mission St San Marino CA 91108-1632 |
| Practice Telephone | 6264038999 |
| Practice Fax Number | 6264038989 |
| Mailing Telephone | 6264038999 |
| Mailing Fax Number | 6264038989 |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | TIMOTHY J PYLKO (PRESIDENT) |
| Authorized Official Telephone | 6264038999 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Street Address |
2400 MISSION ST |
| City | SAN MARINO |
| State | CA |
| Zip Code | 91108-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417999418 | Berry L. Mccord | Psychiatry & Neurology | 2400 Mission St, San Marino, CA 91108-1632 | 2006-06-12 |
| 1699220145 | Pch Pasadena, LLC | Community/Behavioral Health | 2400 Mission St, San Marino, CA 91108-1632 | 2016-08-24 |
| 1649626359 | Integrated Forensic & Clinical Psychological Services | Psychologist | 2400 Mission St, San Marino, CA 91108 | 2016-05-11 |
| 1174987630 | Barbara L. Janetzke, Phd | Psychologist | 2400 Mission St, San Marino, CA 91108-1632 | 2016-04-11 |
| 1477993889 | Rebecca Najera | Psychiatry & Neurology | 2400 Mission St, San Marino, CA 91108-1632 | 2013-06-29 |
| 1174777908 | Susan Bredhoff | Marriage & Family Therapist | 2400 Mission St, #105, San Marino, CA 91108-1632 | 2008-11-06 |
| 1932359445 | Warren Ritchie Christianson II | Psychiatry & Neurology | 2400 Mission St, San Marino, CA 91108-1632 | 2008-09-22 |
| 1689704561 | Megan Snyder-grossman | Marriage & Family Therapist | 2400 Mission St, San Marino, CA 91108-1632 | 2007-03-07 |
| 1730218264 | Daniel F Doyle | Marriage & Family Therapist | 2400 Mission St, San Marino, CA 91108-1632 | 2007-03-02 |
| 1073642500 | Mary Joy Won | Social Worker | 2400 Mission St, San Marino, CA 91108-1632 | 2007-03-02 |
| Find all providers in the same location | ||||
| 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 | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892017 | Avamed Inc. | Psychiatric Hospital | 12955 Riverside Dr Apt 204, Sherman Oaks, CA 91423-2202 | 2020-08-18 |
| 1437769957 | North Valley Behavioral Health, LLC | Psychiatric Hospital | 1253 Stabler Lane, Yuba City, CA 95993 | 2020-08-10 |
| 1811549504 | Sacramento Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 1400 Expo Pkwy, Sacramento, CA 95815-4230 | 2019-07-12 |
| 1932603990 | Central Star Behavioral Health, Inc. | Psychiatric Hospital | 496 South Barton Ave, Fresno, CA 93750-0001 | 2018-03-22 |
| 1639601933 | Restpadd Health Corp | Psychiatric Hospital | 925 Walnut St, Red Bluff, CA 96080-3707 | 2017-03-28 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1558812404 | Sonnia A. Ahinasi | Psychiatric Hospital | 4192 Via Napoli, Montclair, CA 91763-4750 | 2016-10-16 |
| 1316399660 | Itzel Lopez | Psychiatric Hospital | 1869 Lombard St, San Francisco, CA 94123-2909 | 2016-07-11 |
| 1770931032 | Ruby Lorraine Summus | Psychiatric Hospital | 4111 Jonathon St, Oceanside, CA 92056-4217 | 2016-05-27 |
| 1760841126 | County of Los Angeles | Psychiatric Hospital | 5800 South St Apt 163, Lakewood, CA 90713-1331 | 2016-02-15 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARINO |
| Zip Code | 91108 |
Please comment or provide details below to improve the information on SAN MARINO PSYCHIATRIC HOSPITALISTS, INC.
| 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.