CELEBRITY BLOCKTON-GONZALEZ (NPI# 1225539372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225539372 |
| Entity Type | Individual |
| Full Name | CELEBRITY BLOCKTON-GONZALEZ |
| Credential | AMFT |
| Practice Address |
1020 S Arroyo Pkwy Pasadena CA 91105-3911 |
| Practice Telephone | 6264032794 |
| Mailing Telephone | 6264032794 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
114895 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4455 Ne Highway 20, Corvallis, OR 973309695 | 5417585900 |
| Street Address |
1020 S ARROYO PKWY |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912001934 | Pacific Clinics | Community/Behavioral Health | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2006-09-11 |
| 1467086322 | Victoria A Roelens | Counselor | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-02-28 |
| 1750912994 | Nathan Samuel Perdomo | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-01-27 |
| 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 |
| 1437710878 | Mona Ghannoum | Rehabilitation Practitioner | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-06-26 |
| 1952960049 | Marisol Pizano | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-06-11 |
| 1366900417 | Nina Frances Muller | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-03-07 |
| 1376021667 | Rosa Isela Lazaro | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105 | 2018-07-30 |
| 1982199881 | Shaileen Candie Martinez | Student in an Organized Health Care Education/Training Program | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2018-06-25 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079299 | Jessica Jeffers | Counselor | 649 209th St, Pasadena, MD 21122-1427 | 2020-10-06 |
| 1407453350 | Jessie Ann Crabtree | Counselor | 8021 Gov Ritchie Hwy, Pasadena, MD 21122-1047 | 2020-10-05 |
| 1235745118 | Richard S Richardson | Counselor | 146 Harkness Ave, Pasadena, CA 91106-2007 | 2020-09-16 |
| 1467067363 | Kimberley Clayton Blaine | Counselor | 1443 E Washington Blvd Ste 185, Pasadena, CA 91104-2650 | 2020-09-09 |
| 1679185409 | Rodriguez Counseling | Counselor | 2106 Buchanan St, Pasadena, TX 77502-3927 | 2020-08-22 |
| 1992317796 | Carole M Lewis | Counselor | 515 Bonita Ave, Pasadena, CA 91107-5142 | 2020-08-21 |
| 1124637129 | Madeline Myers | Counselor | 3100f Mountain Rd., Pasadena, MD 21122-2018 | 2020-07-26 |
| 1366003279 | John Sovec | Counselor | 16 N Marengo Ave Ste 318, Pasadena, CA 91101-1971 | 2019-06-23 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1215404868 | Jesus Montelongo-cortez | Counselor | 3315 Burke Rd Ste 105, Pasadena, TX 77504-1873 | 2018-10-31 |
| 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.