ELEVATE CONCIERGE HEALTH, LLC (NPI# 1437797024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437797024 |
| Entity Type | Organization |
| Organization Name | ELEVATE CONCIERGE HEALTH, LLC |
| Practice Address |
1280 Afton St Pasadena CA 91103-2303 |
| Mailing Address |
1513 Portia St Los Angeles CA 90026-2651 |
| Practice Telephone | 3120922226 |
| Mailing Telephone | 3109222264 |
| Enumeration Date | 2019-12-15 |
| Last Update Date | 2019-12-18 |
| Authorized Official Name | MR. DARRYL OLIVIER (CEO) |
| Authorized Official Telephone | 3109222264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1280 AFTON ST |
| City | PASADENA |
| State | CA |
| Zip Code | 91103-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
| 1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
| Find all providers in zip 91103 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253177 | Ascend Behavior Consultants LLC | Community/Behavioral Health | 680 E Colorado Blvd, Pasadena, CA 91101-6143 | 2020-07-28 |
| 1841853645 | Prince Health Care Services Inc | Community/Behavioral Health | 8000 Jumpers Hole Rd Ste 212, Pasadena, MD 21122-1046 | 2019-04-17 |
| 1659839298 | North East Los Angeles Psychology | Community/Behavioral Health | 380 S Lake Ave Ste 205, Pasadena, CA 91101-5063 | 2019-03-02 |
| 1972053726 | Five Acres- The Boys' and Girls' Aid Society of Los Angeles County | Community/Behavioral Health | 1236 Solita Rd, Pasadena, CA 91103-2452 | 2016-10-05 |
| 1326591090 | Lead Way Behavioral Services | Community/Behavioral Health | 177 E Colorado Blvd # 200, Pasadena, CA 91105-1986 | 2016-07-29 |
| 1689090169 | Shiloh Center Music Theraphy Services LLC | Community/Behavioral Health | 819 E Pasadena Rd, Pasadena, MD 21122-4002 | 2014-03-08 |
| 1649694324 | Behavior Frontiers | Community/Behavioral Health | 155 N Lake Ave Ste 800, Pasadena, CA 91101-1857 | 2014-02-14 |
| 1609149459 | Whole Mind Wellness Services | Community/Behavioral Health | 32 S Raymond Ave Ste 3b, Pasadena, CA 91105-1961 | 2012-02-09 |
| 1154649564 | D'veal Family and Youth Services | Community/Behavioral Health | 1905 Lincoln Ave, Pasadena, CA 91103-1315 | 2010-05-10 |
| 1265665665 | Our Kids Developmental Services | Community/Behavioral Health | 3230 Rida St, Pasadena, CA 91107-2032 | 2009-09-01 |
| 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.