MARYLIN CALZADILLA (NPI# 1700893336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700893336 |
Entity Type | Individual |
Full Name | MARYLIN CALZADILLA |
Credential | PSYD |
Practice Address |
1530 E Chevy Chase Dr Suite 204 Glendale CA 91206-4163 |
Mailing Address |
Po Box 251377 Glendale CA 91225-1377 |
Practice Telephone | 3103254415 |
Practice Fax Number | 3103263744 |
Mailing Telephone | 3103254415 |
Mailing Fax Number | 3103263744 |
Enumeration Date | 2006-08-03 |
Last Update Date | 2011-10-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
Street Address |
1530 E CHEVY CHASE DR SUITE 204 |
City | GLENDALE |
State | CA |
Zip Code | 91206-4163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952343808 | Philip R Shupe | Podiatrist | 1530 E Chevy Chase Dr, Suite 107, Glendale, CA 91206-4163 | 2006-06-12 |
1265780399 | Katharine Lee Pardave | Nurse Practitioner | 1530 E Chevy Chase Dr, Suite 207, Glendale, CA 91206-4163 | 2012-08-21 |
1750641080 | Raul Arturo Pardave, Md, A Medical Corporation | Non-Pharmacy Dispensing Site | 1530 E Chevy Chase Dr, Suite 207, Glendale, CA 91206-4163 | 2012-05-21 |
1376817429 | Kent Candelora, Phd, A Psychological Corporation | Psychologist | 1530 E Chevy Chase Dr, Suite 103, Glendale, CA 91206-4139 | 2012-03-06 |
1104118389 | Jivan Melikian M.d. Inc | Internal Medicine | 1530 E Chevy Chase Dr, Suite 206, Glendale, CA 91206-4163 | 2011-05-06 |
1083914162 | Calzadilla Psychological Inc | Psychologist | 1530 E Chevy Chase Dr, Suite 204, Glendale, CA 91206-4163 | 2010-10-23 |
1386962058 | Muradian Chiropractic Care Inc | Chiropractor | 1530 E Chevy Chase Dr, # 105, Glendale, CA 91206-4163 | 2010-05-05 |
1427234558 | Raul Arturo Pardave Md A Medical Corporation | Family Medicine | 1530 E Chevy Chase Dr, Suite 207, Glendale, CA 91206-4163 | 2008-01-18 |
1972792778 | John G Olea, Md Apc | Anesthesiology | 1530 E Chevy Chase Dr, Suite 205a, Glendale, CA 91206-4163 | 2007-10-17 |
1679785695 | Christopher J. Charbonnet, M.d., A Professional Corporation | Pain Medicine | 1530 E Chevy Chase Dr, Ste 204, Glendale, CA 91206-4163 | 2007-05-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
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1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
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Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
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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.