HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES (NPI# 1366009060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366009060 |
| Entity Type | Organization |
| Organization Name | HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES |
| Other Organization Name | WEBSTER ES |
| Practice Address |
2101 E Washington Blvd Pasadena CA 91104-1825 |
| Mailing Address |
100 W Walnut St Ste 375 Pasadena CA 91124-0001 |
| Practice Telephone | 6263957100 |
| Practice Fax Number | 6263957270 |
| Mailing Telephone | 6263957100 |
| Mailing Fax Number | 6263957270 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | DEBBIE MANNERS (PRESIDENT AND CEO) |
| Authorized Official Telephone | 6263957100 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers | ||
| N | 164W00000X | Licensed Practical Nurse | Nursing Service Providers | ||
| N | 167G00000X | Licensed Psychiatric Technician | Nursing Service Providers | ||
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 374700000X | Technician | Nursing Service Related Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Webster ES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932731080 | Hathaway Sycamores Child and Family Services | Social Worker | 13241 Vaughn St., San Fernando, CA 91340-2237 | 2020-02-06 |
| 1770125445 | Hathaway Sycamores Child and Family Services | Psychologist | 509 W Norwood Pl, Alhambra, CA 91803-3217 | 2019-10-14 |
| 1528600483 | Hathaway Sycamores Child and Family Services | Technician | 820 N Avenue 54, Los Angeles, CA 90042-2428 | 2019-10-11 |
| 1124685821 | Hathaway Sycamores Child and Family Services | Psychologist | 12001 Art St, Sun Valley, CA 91352-2409 | 2019-05-29 |
| 1558928259 | Hathaway Sycamores Child and Family Services | Psychologist | 14600 Tyler St, Sylmar, CA 91342-2826 | 2019-05-29 |
| 1881251593 | Hathaway Sycamores Child and Family Services | Psychologist | 13330 Vaughn St, San Fernando, CA 91340-2216 | 2019-05-29 |
| 1164089876 | Hathaway Sycamores Child and Family Services | Psychologist | 7330 Bakman Ave, Sun Valley, CA 91352-4914 | 2019-05-29 |
| 1508423211 | Hathaway Sycamores Child and Family Services | Psychologist | 13050 Borden Ave, Sylmar, CA 91342-4251 | 2019-05-29 |
| 1699332304 | Hathaway Sycamores Child and Family Services | Licensed Vocational Nurse | 12441 Bromont Ave, San Fernando, CA 91340-1306 | 2019-05-29 |
| 1215594916 | Hathaway Sycamores Child and Family Services | Licensed Psychiatric Technician | 8926 Sunland Blvd, Sun Valley, CA 91352-2843 | 2019-05-29 |
| Street Address |
2101 E WASHINGTON BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91104-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| 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.