GWENDOLYN JOHNSON


Address: 1007 N Lake Ave, Pasadena, CA 91104-4521
Phone: 6268089746

GWENDOLYN JOHNSON (NPI# 1891061925) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers GWENDOLYN JOHNSON

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

Office Location

Street Address 1007 N LAKE AVE
City PASADENA
State CA
Zip Code 91104-4521

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

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
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Competitor

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City PASADENA
Zip Code 91104

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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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