LISA SUSANN WONG (NPI# 1396298667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396298667 |
| Entity Type | Individual |
| Full Name | LISA SUSANN WONG |
| Practice Address |
447 N El Molino Ave Pasadena CA 91101-1403 |
| Practice Telephone | 6265778480 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
72666 | CA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
72556 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023514338 | Lisa Kanata Wong | Student in an Organized Health Care Education/Training Program | Department of Pathology, 300 Pasteur Drive, Edwards Building, R204, Mc: 5324, Palo Alto, CA 94305-4245 | 2018-04-04 |
| 1780821223 | Lisa Kar Ying Wong | Acupuncturist | 18988 Cox Ave Ste C, Saratoga, CA 95070-4154 | 2009-01-20 |
| 1427225499 | Lisa Lai Wong | Pharmacist | 50 Bowery, New York, NY 10013-4801 | 2008-05-09 |
| 1962605428 | Lisa S Wong | Nurse Practitioner | 73 Tremont St, 5th Floor, Boston, MA 02108-3916 | 2007-06-11 |
| 1598825465 | Lisa Wong | Acupuncturist | 5700 Ralston St. Ste. 110, Ventura, CA 93003 | 2006-12-11 |
| 1053963363 | Lisa Amanda Wong | Optometrist | 350 Fairview Ave, Hudson, NY 12534-1224 | 2019-07-16 |
| 1881104610 | Lisa Marie Wong | Dietitian, Registered | 648 Taylor Rd, Gahanna, OH 43230-3202 | 2017-10-06 |
| 1376927954 | Lisa Wong | Pharmacist | 720 3rd Ave, Chula Vista, CA 91910-5804 | 2015-07-14 |
| 1285038661 | Lisa Wong | Pharmacist | 8515 Sw Tualatin Sherwood Rd, Tualatin, OR 97062-7583 | 2014-10-14 |
| 1063834281 | Lisa Wh Wong | Dentist | 50 S Beretania St, Suite C-117b, Honolulu, HI 96813-2208 | 2014-01-07 |
| Street Address |
447 N EL MOLINO AVE |
| 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 | 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 |
| 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.