MR. THEODORE A ANDERSON III (NPI# 1336447416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336447416 |
| Entity Type | Individual |
| Full Name | MR. THEODORE A ANDERSON III |
| Credential | LMFT, CADC II |
| Practice Address |
66 Hurlbut St Pasadena CA 91105-4025 |
| Mailing Address |
817 E Foothill Blvd Monrovia CA 91016-2407 |
| Practice Telephone | 8186125043 |
| Mailing Telephone | 8186125043 |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2016-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RA01600315 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 84546 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295952299 | Theodore Scott Anderson Sr. | Counselor | 102-a Orange St. Suite 104, Oxford, NC 27565 | 2007-04-19 |
| 1134178163 | Theodore Michael Anderson | Dentist | 3637 Wilgus Avenue, Sheboygan, WI 53081 | 2006-05-08 |
| 1740660034 | Theodore Anderson | Specialist | 5153 W Thunderbird Rd, Glendale, AZ 85306-4836 | 2015-06-02 |
| 1184842833 | Theodore Edward Anderson Iv | Counselor | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2007-04-20 |
| 1245354752 | Theodore Starbuck Anderson Jr. | Pediatrics | 122 N Elm St, Suite 400, Greensboro, NC 27401-2878 | 2007-03-19 |
| 1699885970 | Theodore B Anderson | Physical Therapist | 472 Kaulana St, Kahului, HI 96732-2050 | 2006-08-30 |
| 1629011606 | Theodore L Anderson | Nurse Anesthetist, Certified Registered | 5100 W Tilghman St Ste 315, Allentown, PA 18104-9166 | 2006-06-14 |
| Street Address |
66 HURLBUT ST |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134225519 | Pacific Clinics | Community/Behavioral Health | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2006-09-15 |
| 1972102044 | Katrina Willow Yanez | Case Manager/Care Coordinator | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2020-10-20 |
| 1942817846 | Talia Sara Ram | Student in an Organized Health Care Education/Training Program | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2020-09-25 |
| 1043826217 | Veronica Diane Silva | Student in an Organized Health Care Education/Training Program | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2020-09-22 |
| 1306454277 | Courtney Derek White | Student in an Organized Health Care Education/Training Program | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2020-07-16 |
| 1649896408 | Melissa Ann Dover | Student in an Organized Health Care Education/Training Program | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2020-06-17 |
| 1003454414 | Amanda Jane De Wolf | Counselor | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2019-12-16 |
| 1588202998 | Sara Elizabeth Pineda Reyes | Case Manager/Care Coordinator | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2019-12-16 |
| 1659929073 | Jeffrey Najarro | Case Manager/Care Coordinator | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2019-08-28 |
| 1669024097 | Yasmin Guadalupe Montoya | Case Manager/Care Coordinator | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2019-07-16 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372153 | Donna Shanahan, Lmft | Marriage & Family Therapist | 595 E Colorado Blvd Ste 607, Pasadena, CA 91101-2015 | 2020-09-28 |
| 1568071298 | Brigit Jeffries | Marriage & Family Therapist | 426 S Los Robles Ave Apt E, Pasadena, CA 91101-3257 | 2020-07-29 |
| 1962028886 | Yuanzen Tung | Marriage & Family Therapist | 960 E Green St Ste 114, Pasadena, CA 91106-2401 | 2020-06-17 |
| 1780208801 | Ivy Zequeira | Marriage & Family Therapist | 130 S Euclid Ave Ste 2, Pasadena, CA 91101-2471 | 2020-06-04 |
| 1376167361 | Melba Rachel Mathew | Marriage & Family Therapist | 595 E Colorado Blvd Ste 211, Pasadena, CA 91101-2028 | 2020-06-04 |
| 1275156150 | Heidi Pidcoke | Marriage & Family Therapist | 696 S Madison Ave, Pasadena, CA 91106-3830 | 2020-05-26 |
| 1952924235 | Lilit Arvahi | Marriage & Family Therapist | 711 E Walnut St Ste 407, Pasadena, CA 91101-4403 | 2020-05-21 |
| 1730724022 | Patricia Carmalt | Marriage & Family Therapist | 97 W Bellevue Dr Ste 6, Pasadena, CA 91105-2501 | 2019-11-11 |
| 1457993339 | Lilit Melik-bakhshyan | Marriage & Family Therapist | 940 E Union St Ste 102, Pasadena, CA 91106-1780 | 2019-10-12 |
| 1295384022 | Jenny Berman | Marriage & Family Therapist | 745 S Marengo Ave Ste 108, Pasadena, CA 91106-4738 | 2019-09-04 |
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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.