NEURO-REHAB CONSULTATION & TREATMENT SERVICES


Address: 630 S Raymond Ave, #340, Pasadena, CA 91105-3278
Phone: 6267107838

NEURO-REHAB CONSULTATION & TREATMENT SERVICES (NPI# 1720475825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720475825
Entity Type Organization
Organization Name NEURO-REHAB CONSULTATION & TREATMENT SERVICES
Practice Address 630 S Raymond Ave
#340
Pasadena
CA 91105-3278
Mailing Address 995 E Green St
#422
Pasadena
CA 91106-2410
Practice Telephone 6267107838
Practice Fax Number 6262704234
Mailing Telephone 6267107838
Mailing Fax Number 6262704234
Enumeration Date 2015-04-16
Last Update Date 2015-04-16
Authorized Official Name MONA MIKAEL (PSYCHOLOGIST)
Authorized Official Telephone 6267107838
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
25089 CA Behavioral Health & Social Service Providers

Office Location

Street Address 630 S RAYMOND AVE
#340
City PASADENA
State CA
Zip Code 91105-3278

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023014750 Mary A Mioux Berry Physical Medicine & Rehabilitation 630 S Raymond Ave, Suite #120, Pasadena, CA 91105-3278 2005-06-27
1295249225 Tracy Le Henry Nurse Practitioner 630 S Raymond Ave, Pasadena, CA 91105-3278 2017-11-29
1316493737 Asa Maria Albecz Technician, Other 630 S Raymond Ave, #310, Pasadena, CA 91105-3278 2016-08-26
1023564481 Neurologicinc Specialist/Technologist, Other 630 S Raymond Ave, Pasadena, CA 91105-3278 2016-08-26
1215365747 Roxanne Prilutsky, Ph.d., A Psychology Corporation Psychologist 630 S Raymond Ave, Suite 310, Pasadena, CA 91105-3278 2013-10-18
1467897322 West Coast Neurology Psychiatry & Neurology 630 S Raymond Ave, Suite 310, Pasadena, CA 91105-3278 2013-05-06
1588943682 Southern California Glaucoma Consultants Medical Group Ophthalmology 630 S Raymond Ave, 230, Pasadena, CA 91105-3278 2011-08-08
1376867309 Valley Diagnostic Imaging Medical Group Inc Specialist 630 S Raymond Ave, Unit 210, Pasadena, CA 91105-3278 2010-03-19
1033431127 Imaging Specialist of Pasadena LLC Specialist 630 S Raymond Ave, Unit 210, Pasadena, CA 91105-3278 2010-02-17
1245561752 Elisa C Alvarado Md Inc Internal Medicine 630 S Raymond Ave, Suite 340, Pasadena, CA 91105-3278 2010-01-22
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1801416847 Insight Personal and Family Therapy, Inc Psychologist 65 N Madison Ave Ste 601, Pasadena, CA 91101-2047 2020-04-20
1780222059 Nevena Mojsilovic Psychologist 107 S Fair Oaks Ave Ste 223229, Pasadena, CA 91105-2010 2019-12-17
1366009060 Hathaway Sycamores Child and Family Services Psychologist 2101 E Washington Blvd, Pasadena, CA 91104-1825 2019-05-29
1417514209 Hathaway Sycamores Child and Family Services Psychologist 515 E Ashtabula St, Pasadena, CA 91104-4306 2019-05-28
1447817010 Samantha Miller Psychologist 107 S Fair Oaks Ave Ste 219, Pasadena, CA 91105-2082 2019-05-20
1639533029 Biljana Bujko Psychologist 745 S Marengo Ave Ste 202, Pasadena, CA 91106-4739 2016-04-11
1477919454 Armine Melkonyan Psychologist 595 E Colorado Blvd Ste 409, Pasadena, CA 91101-2018 2016-01-07
1073982344 Safe Harbor Christian Counseling of Annapolis Psychologist 206 Pleasantview Ave, Pasadena, MD 21122-4042 2015-09-17
1861869489 Supatra Hanna Tovar Psychologist 1000 E Walnut St Ste 246, Pasadena, CA 91106-5370 2015-08-31
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Competitor

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City PASADENA
Zip Code 91105

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Dataset Information

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.

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