EMERSON SOUSA (NPI# 1184187957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184187957 |
| Entity Type | Individual |
| Full Name | EMERSON SOUSA |
| Credential | LPT |
| Practice Address |
2900 E Del Mar Blvd Pasadena CA 91107-4375 |
| Mailing Address |
2706 S Baker Ave Ontario CA 91761-7222 |
| Practice Telephone | 6267959901 |
| Mailing Telephone | 9094506670 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 40612 | CA | Nursing Service Providers |
| Street Address |
2900 E DEL MAR BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700843216 | Aurora Las Encinas, LLC | Psychiatric Hospital | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2006-04-27 |
| 1356953020 | Jordan Louise Royer | Registered Nurse | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2020-08-23 |
| 1356964340 | James Williams | Registered Nurse | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2020-05-25 |
| 1972139277 | Aleksandra Nikolich Kusina | Registered Nurse | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2020-03-18 |
| 1851924260 | John Galdino Cummings Jr. | Registered Nurse | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2020-02-14 |
| 1720618952 | Marie Felyn Esperanzate Llacuna | Registered Nurse | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2020-01-15 |
| 1710523832 | Glenn Gil Zoleta | Registered Nurse | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-11-25 |
| 1023653870 | Julie M Crenshaw | Social Worker | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-11-14 |
| 1639713605 | Cecilia Enriqueta Que | Registered Nurse | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-11-03 |
| 1184266793 | Esther Hicks | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417119413 | Barbara Beboua | Licensed Psychiatric Technician | 1627 N Oxford Ave, Pasadena, CA 91104 | 2008-06-30 |
| 1487262846 | Sharon Marie Sullivan | Licensed Psychiatric Technician | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-21 |
| 1568093706 | Amanda Kathleen Pearson | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-01-27 |
| 1023652898 | Taylor Nicole Hannon | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-11-04 |
| 1184266793 | Esther Hicks | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-10-15 |
| 1598312605 | Alena Luna | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-08-22 |
| 1164078564 | Ginger Anne Brooks | Licensed Psychiatric Technician | 1450 N Lake Ave Ste 150, Pasadena, CA 91104-2388 | 2019-08-13 |
| 1083269252 | Sean Jaret Luat | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-08-05 |
| 1396390720 | Lauren Smith | Licensed Psychiatric Technician | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2019-08-02 |
| 1215426739 | Latoya Michelle Williamson | Licensed Psychiatric Technician | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2018-05-10 |
| 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.