AMANDA KATHLEEN PEARSON (NPI# 1568093706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568093706 |
| Entity Type | Individual |
| Full Name | AMANDA KATHLEEN PEARSON |
| Practice Address |
1020 S Arroyo Pkwy Pasadena CA 91105-3911 |
| Mailing Address |
3839 Amanda St Apt 228 West Covina CA 91792-2797 |
| Practice Telephone | 6264034894 |
| Mailing Telephone | 9095523391 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 41419 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387309 | Amanda Marie Pearson | Nurse Practitioner | 516 Quintard Ave, Anniston, AL 36201-5711 | 2018-12-12 |
| 1699267864 | Amanda Pearson | Peer Specialist | 124 W 25th St Ste B4, Kearney, NE 68847-4473 | 2018-06-04 |
| 1740722677 | Amanda Pearson | Physical Therapy Assistant | 56 Market St, Potsdam, NY 13676-1747 | 2016-11-09 |
| 1417251075 | Amanda Lee Pearson | Rehabilitation Practitioner | 5659 Duncan Dr, Las Vegas, NV 89130-2811 | 2010-12-22 |
| 1295035400 | Amanda Sue Pearson | Licensed Practical Nurse | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2010-10-22 |
| 1710210190 | Amanda E. Pearson | Physical Therapist | 100 Route 9d, Castle Point, NY 12511 | 2009-09-16 |
| 1730315367 | Amanda Davidson Pearson | Audiologist | 7600 Wolf River Blvd, Suite 220, Germantown, TN 38138-1785 | 2009-06-10 |
| 1922049071 | Amanda W Pearson | Obstetrics & Gynecology | 500 Rue De La Vie St, Suite 100, Baton Rouge, LA 70817-5126 | 2006-06-09 |
| Street Address |
1020 S ARROYO PKWY |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912001934 | Pacific Clinics | Community/Behavioral Health | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2006-09-11 |
| 1467086322 | Victoria A Roelens | Counselor | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-02-28 |
| 1750912994 | Nathan Samuel Perdomo | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-01-27 |
| 1023652898 | Taylor Nicole Hannon | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-11-04 |
| 1437710878 | Mona Ghannoum | Rehabilitation Practitioner | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-06-26 |
| 1952960049 | Marisol Pizano | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-06-11 |
| 1366900417 | Nina Frances Muller | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-03-07 |
| 1376021667 | Rosa Isela Lazaro | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105 | 2018-07-30 |
| 1982199881 | Shaileen Candie Martinez | Student in an Organized Health Care Education/Training Program | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2018-06-25 |
| 1225539372 | Celebrity Blockton-gonzalez | Counselor | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2018-02-23 |
| Find all providers in the same location | ||||
| 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 | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417119413 | Barbara Beboua | Licensed Psychiatric Technician | 1627 N Oxford Ave, Pasadena, CA 91104 | 2008-06-30 |
| 1487262846 | Sharon Marie Sullivan | Licensed Psychiatric Technician | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-21 |
| 1023652898 | Taylor Nicole Hannon | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-11-04 |
| 1184266793 | Esther Hicks | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-10-15 |
| 1598312605 | Alena Luna | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-08-22 |
| 1164078564 | Ginger Anne Brooks | Licensed Psychiatric Technician | 1450 N Lake Ave Ste 150, Pasadena, CA 91104-2388 | 2019-08-13 |
| 1083269252 | Sean Jaret Luat | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-08-05 |
| 1396390720 | Lauren Smith | Licensed Psychiatric Technician | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2019-08-02 |
| 1184187957 | Emerson Sousa | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2019-04-09 |
| 1215426739 | Latoya Michelle Williamson | Licensed Psychiatric Technician | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2018-05-10 |
| 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.