HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES (NPI# 1508423211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508423211 |
| Entity Type | Organization |
| Organization Name | HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES |
| Other Organization Name | HSCFS- SYLMAR HS |
| Practice Address |
13050 Borden Ave Sylmar CA 91342-4251 |
| 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 | 164X00000X | Licensed Vocational 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 |
|---|---|
| HSCFS- Sylmar HS | 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 |
| 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 |
| 1649837345 | Hathaway Sycamores Child and Family Services | Psychologist | 10819 Plainview Ave, Tujunga, CA 91042-1633 | 2019-05-29 |
| Street Address |
13050 BORDEN AVE |
| City | SYLMAR |
| State | CA |
| Zip Code | 91342-4251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
| Find all providers in zip 91342 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949986 | Vanessa Lopez | Counselor | 10607 Foothill Blvd, Sylmar, CA 91342-6819 | 2020-10-15 |
| 1588030662 | Liz Ornelas | Counselor | 12585 Telfair Ave, Sylmar, CA 91342-3739 | 2015-08-12 |
| 1669657979 | Jermaine Dickerson | Counselor | 13192 Herrick Ave, Sylmar, CA 91342-3931 | 2008-01-04 |
| 1760513428 | Hathaway-sycamores | Counselor | 8955 Gold Creek Rd, Sylmar, CA 91342-5902 | 2007-03-07 |
| 1669541629 | Salvador Mariscal Moreno | Counselor | 13584 De Garmo Ave, Sylmar, CA 91342-1210 | 2006-11-06 |
| 1629678867 | Shengzi Sun | Counselor | 12087 Lopez Canyon Rd # 128, Sylmar, CA 91342-6063 | 2020-10-27 |
| 1447800743 | Jessica Dolores Bernal | Counselor | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2019-09-18 |
| 1912379512 | Debbie Quinteros | Counselor | 14659 Olive View Dr, Sylmar, CA 91342 | 2015-10-22 |
| 1528452778 | Jose Destajo | Counselor | 14659 Olive View Dr, Sylmar, CA 91342-1652 | 2015-03-25 |
| 1205118387 | Maria C. Chan Huynh | Counselor | 12669 Encinitas Ave, Sylmar, CA 91342-3635 | 2011-09-14 |
| Find all providers in SYLMAR | ||||
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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.