DR. CYNTHIA JACKSON (NPI# 1235185653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235185653 |
| Entity Type | Individual |
| Full Name | DR. CYNTHIA JACKSON |
| Credential | PHD |
| Practice Address |
447 N El Molino Ave #2 Pasadena CA 91101-1403 |
| Mailing Address |
447 N El Molino Ave Pasadena CA 91101-1403 |
| Practice Telephone | 6265778480 |
| Practice Fax Number | 6265778978 |
| Mailing Telephone | 6265778480 |
| Mailing Fax Number | 6265778978 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2017-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY14155 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205789 | Cynthia Jackson | Technician | 2834 Green Bank Rd, Arbovale, WV 24915-5565 | 2020-08-13 |
| 1225650757 | Cynthia Linnea Jackson | Midwife | 20551 Motor Dr Apt A4, Detroit, MI 48235-1831 | 2020-05-06 |
| 1598384935 | Cynthia Jackson | Dentist | 1620 Alpine Blvd Ste 212, Alpine, CA 91901-1105 | 2020-04-15 |
| 1134759863 | Cynthia Rana Jackson | Home Health | 1206 W Central Ave, Coolidge, AZ 85128-9165 | 2020-01-22 |
| 1427515303 | Cynthia Mary Jackson | Social Worker | 602 Kahn Dr, Pikesville, MD 21208-5824 | 2019-02-27 |
| 1619441102 | Cynthia Lee Jackson | Licensed Vocational Nurse | 1646 Best Blvd, Wichita Falls, TX 76301-8144 | 2019-01-17 |
| 1881128601 | Cynthia Jackson | Student in an Organized Health Care Education/Training Program | 5100 Highbridge St Apt 47d, Fayetteville, NY 13066-2461 | 2017-04-18 |
| 1396298451 | Cynthia Elaine Jackson | Technician, Other | 29167 Village Rd, Southfield, MI 48034-1222 | 2016-07-25 |
| 1255734331 | Cynthia R Jackson | Counselor | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2014-10-02 |
| 1932534047 | Cynthia A Jackson | Home Health Aide | 2801 Eagle St, Houston, TX 77004-4543 | 2013-09-08 |
| Street Address |
447 N EL MOLINO AVE #2 |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306899091 | Heritage Clinic and The Community Assistance Program for Seniors | Psychologist | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2006-05-17 |
| 1366059719 | Aurora Doreza | Counselor | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-09-29 |
| 1417560533 | Patricia L. Roach | Student in an Organized Health Care Education/Training Program | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-08-28 |
| 1295348308 | Manuel Andrew Malek | Student in an Organized Health Care Education/Training Program | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-08-28 |
| 1487267936 | Chris Patton | Student in an Organized Health Care Education/Training Program | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-08-25 |
| 1356952279 | Breanna Renee Abram | Student in an Organized Health Care Education/Training Program | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-08-13 |
| 1700414281 | Isabel Banderas | Case Manager/Care Coordinator | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-03-30 |
| 1255968921 | Michelle Llamas | Case Manager/Care Coordinator | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2020-03-24 |
| 1336781624 | Princess Jones | Counselor | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2019-10-08 |
| 1275183212 | Milena Semenova | Case Manager/Care Coordinator | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2019-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401260 | James Chavers Jr. | Psychologist | 335 Cherry Dr, Pasadena, CA 91105-2150 | 2020-09-12 |
| 1801416847 | Insight Personal and Family Therapy, Inc | Psychologist | 65 N Madison Ave Ste 601, Pasadena, CA 91101-2047 | 2020-04-20 |
| 1780222059 | Nevena Mojsilovic | Psychologist | 107 S Fair Oaks Ave Ste 223229, Pasadena, CA 91105-2010 | 2019-12-17 |
| 1366009060 | Hathaway Sycamores Child and Family Services | Psychologist | 2101 E Washington Blvd, Pasadena, CA 91104-1825 | 2019-05-29 |
| 1417514209 | Hathaway Sycamores Child and Family Services | Psychologist | 515 E Ashtabula St, Pasadena, CA 91104-4306 | 2019-05-28 |
| 1447817010 | Samantha Miller | Psychologist | 107 S Fair Oaks Ave Ste 219, Pasadena, CA 91105-2082 | 2019-05-20 |
| 1639533029 | Biljana Bujko | Psychologist | 745 S Marengo Ave Ste 202, Pasadena, CA 91106-4739 | 2016-04-11 |
| 1477919454 | Armine Melkonyan | Psychologist | 595 E Colorado Blvd Ste 409, Pasadena, CA 91101-2018 | 2016-01-07 |
| 1073982344 | Safe Harbor Christian Counseling of Annapolis | Psychologist | 206 Pleasantview Ave, Pasadena, MD 21122-4042 | 2015-09-17 |
| 1861869489 | Supatra Hanna Tovar | Psychologist | 1000 E Walnut St Ste 246, Pasadena, CA 91106-5370 | 2015-08-31 |
| 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.