MS. NICHOLE MONIC CAMPOS


Address: 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911
Phone: 6262545000

MS. NICHOLE MONIC CAMPOS (NPI# 1316341365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316341365
Entity Type Individual
Full Name MS. NICHOLE MONIC CAMPOS
Credential LPT
Practice Address 1020 S Arroyo Pkwy
Pasadena
CA 91105-3911
Mailing Address 300 N Shadyglen Dr
Covina
CA 91724-2911
Practice Telephone 6262545000
Mailing Telephone 6264985250
Enumeration Date 2014-10-20
Last Update Date 2014-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician PT 37808 CA Nursing Service Providers

Other Providers NICHOLE CAMPOS

NPI Name Taxonomy Address Enumeration
1700496528 Nichole Lynn Campos Licensed Practical Nurse 6629 W Central Ave Ste 1, Toledo, OH 43617-1098 2020-08-06

Office Location

Street Address 1020 S ARROYO PKWY
City PASADENA
State CA
Zip Code 91105-3911

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1184187957 Emerson Sousa Licensed Psychiatric Technician 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 2019-04-09
Find all providers in PASADENA

Competitor

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City PASADENA
Zip Code 91105

Improve Information

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Dataset Information

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.

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