GWENDOLYN JOHNSON (NPI# 1891061925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891061925 |
Entity Type | Individual |
Full Name | GWENDOLYN JOHNSON |
Practice Address |
1007 N Lake Ave Pasadena CA 91104-4521 |
Mailing Address |
2403 El Molino Ave Altadena CA 91001-2315 |
Practice Telephone | 6268089746 |
Mailing Telephone | 6263903877 |
Enumeration Date | 2012-03-22 |
Last Update Date | 2012-03-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649482167 | Gwendolyn Angela Johnson | Developmental Therapist | 29w410 Forestview Dr, Warrenville, IL 60555 | 2007-05-04 |
1730253014 | Gwendolyn Watts Johnson | Social Worker | 9199 Reisterstown Road, Suite 214c, Owings Mills, MD 21117 | 2006-11-20 |
1295841658 | Gwendolyn O Johnson | Social Worker | 2225 N Charles St, Baltimore, MD 21218 | 2006-08-21 |
1558371666 | Gwendolyn Armstrong Johnson | Social Worker | 1408 Waterford Ct, Desoto, TX 75115-7802 | 2006-08-09 |
1811532070 | Gwendolyn Johnson | Counselor | 3135 Euclid Ave Ste 202, Cleveland, OH 44115-2524 | 2019-11-12 |
1245507946 | Gwendolyn Johnson | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2011-11-23 |
1962708545 | Gwendolyn L Johnson | Behavioral Analyst | 17850 Baker Ave, Country Club Hills, IL 60478-4729 | 2011-01-31 |
1881865715 | Gwendolyn Watkins Johnson | Psychologist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2008-03-19 |
Street Address |
1007 N LAKE AVE |
City | PASADENA |
State | CA |
Zip Code | 91104-4521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346350659 | Pacific Clinics | Community/Behavioral Health | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2006-08-30 |
1003210386 | Chelsia Michelle Durkee | Counselor | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2014-10-15 |
1013342781 | Tiffany Renee Ross | Licensed Psychiatric Technician | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2013-09-12 |
1790117760 | Carlos Ramon Magana Jr. | Licensed Psychiatric Technician | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2013-08-01 |
1124466578 | Kurt Kinsey | Rehabilitation Practitioner | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2013-06-07 |
1366783227 | Gregory Leggett | Rehabilitation Practitioner | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2013-03-01 |
1285908996 | Rachelle Marie Freeman | Licensed Psychiatric Technician | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2012-02-27 |
1205160389 | Margaret Martin | Rehabilitation Practitioner | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2009-09-23 |
1063645620 | Kirsten Ramirez | Rehabilitation Practitioner | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2009-08-31 |
1447489315 | Jamie Lofton | Rehabilitation Practitioner | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2009-07-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
Find all providers in zip 91104 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
1548805344 | Aimee Isabelle Rodriguez | Rehabilitation Practitioner | 100 W Walnut St Ste 375110, Pasadena, CA 91103-3697 | 2019-11-15 |
1518427830 | Samantha Jo Elvira Haun | Rehabilitation Practitioner | 867 N Fair Oaks Ave # 867, Pasadena, CA 91103-3050 | 2019-03-22 |
1477041580 | Imani Nicole Glenn | Rehabilitation Practitioner | 1575 E Washington Blvd, Pasadena, CA 91104-2675 | 2018-04-24 |
1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
1366821613 | Claudia Boileu-flores | Rehabilitation Practitioner | 940 Avenue, 64, Pasadena, CA 91105 | 2015-05-20 |
1497161756 | Marine Bambakyan | Rehabilitation Practitioner | 66 Hurlbut St Fl 2, Pasadena, CA 91105-4026 | 2014-07-08 |
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.