DR. JOHANNA J MYTKO (NPI# 1831250091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831250091 |
| Entity Type | Individual |
| Full Name | DR. JOHANNA J MYTKO |
| Credential | PH.D. |
| Practice Address |
205 Avenue I Ste 8 Redondo Beach CA 90277-5619 |
| Practice Telephone | 3108099188 |
| Mailing Telephone | 3108099188 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY20229 | CA | Behavioral Health & Social Service Providers |
| Street Address |
205 AVENUE I STE 8 |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-5619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313734 | Claire Louise Towle | Social Worker | 205 Avenue I, Redondo Beach, CA 90277-5619 | 2005-08-12 |
| 1730427204 | Tracy Lynn Walsh Pilger | Marriage & Family Therapist | 205 Avenue I, Suite 27, Redondo Beach, CA 90277-5619 | 2013-01-17 |
| 1093068033 | Amy A'dell Humphrey | Marriage & Family Therapist | 205 Avenue I, Suite #11, Redondo Beach, CA 90277-5619 | 2012-10-15 |
| 1518292226 | Linda Reardon Neal | Marriage & Family Therapist | 205 Avenue I, Suite 15, Redondo Beach, CA 90277-5619 | 2009-10-14 |
| 1518125251 | Robin Fitzgerald Krotz | Marriage & Family Therapist | 205 Avenue I, Suite 20, Redondo Beach, CA 90277 | 2008-05-29 |
| 1518177468 | Diane D. Kay | Social Worker | 205 Avenue I, Suite 28, Redondo Beach, CA 90277-5619 | 2007-05-22 |
| 1346459989 | Ruth Hilda Schriebman | Marriage & Family Therapist | 205 Avenue I, Suite 15, Redondo Beach, CA 90277-5619 | 2007-05-21 |
| 1245350180 | Carol Gulyas Wintrode | Marriage & Family Therapist | 205 Avenue I, Suite 21, Redondo Beach, CA 90277-5619 | 2007-03-31 |
| 1861538555 | Judith Ann Caswick | Social Worker | 205 Avenue I, Suite 19, Redondo Beach, CA 90277-5619 | 2007-01-29 |
| 1801973516 | Esther Carol Keschner | Marriage & Family Therapist | 205 Avenue I, 12, Redondo Beach, CA 90277 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1760871024 | Lysa Eastman | Psychologist | 1200 S Pacific Coast Hwy, Suite F, Redondo Beach, CA 90277-4987 | 2015-01-09 |
| 1942640529 | Robert Nelson Grove | Psychologist | 220 Marina Way, # 35, Redondo Beach, CA 90277-2098 | 2013-06-27 |
| 1558708834 | Crystal Layne Quarry | Psychologist | 225 Avenue I Ste 204, Redondo Beach, CA 90277-5608 | 2013-05-28 |
| 1356699342 | Lauren Keats | Psychologist | 1014 S Pacific Coast Hwy Ste 102, Redondo Beach, CA 90277-4765 | 2012-08-22 |
| 1952565079 | Lori Q Chaib | Psychologist | 648 Avenue B, Redondo Beach, CA 90277-4829 | 2008-07-17 |
| 1225236631 | Cynthia Allison | Psychologist | 231 C Vista Del Mar, Redondo Beach, CA 90277 | 2007-07-06 |
| 1710105739 | Jacqueline M O'berry | Psychologist | 205 Avenue I Ste 9, Redondo Beach, CA 90277-5619 | 2007-04-23 |
| 1457423709 | Margaret Leslie Stoll | Psychologist | 1826 S Elema Avenue, Suite C, Redondo Beach, CA 90277 | 2006-11-14 |
| 1902987852 | Betty June Calame | Psychologist | 1107 So Pacific Coast Highway, Redondo Beach, CA 90277 | 2006-10-18 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
Please comment or provide details below to improve the information on DR. JOHANNA J MYTKO.
| 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.