CHRISTINE ELAINE JUDY (NPI# 1477071306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477071306 |
Entity Type | Individual |
Full Name | CHRISTINE ELAINE JUDY |
Practice Address |
1020 S Arroyo Pkwy Ste 200 Pasadena CA 91105-3912 |
Mailing Address |
10240 Elmore Ave Whittier CA 90604-1608 |
Practice Telephone | 6264032794 |
Mailing Telephone | 5629415415 |
Enumeration Date | 2017-08-30 |
Last Update Date | 2017-08-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
1020 S ARROYO PKWY STE 200 |
City | PASADENA |
State | CA |
Zip Code | 91105-3912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467695320 | Lisa Ann Carruthers | Psychologist | 1020 S Arroyo Pkwy Ste 200, Pasadena, CA 91105-3912 | 2009-04-08 |
1467074997 | Liliana Gomez | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy Ste 200, Pasadena, CA 91105-3912 | 2020-05-06 |
1235787029 | Kieran N Oneill | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy Ste 200, Pasadena, CA 91105-3912 | 2019-08-27 |
1740833912 | Jonathan Alfredo Oliden Cortez | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy Ste 200, Pasadena, CA 91105-3912 | 2019-07-17 |
1669937686 | Naomi De La Mora | Counselor | 1020 S Arroyo Pkwy Ste 200, Pasadena, CA 91105-3912 | 2019-02-04 |
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 | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538673603 | Henry Morales | Peer Specialist | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2017-11-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
Find all providers with the same taxonomy |
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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.