DR. CYNTHIA L JOHNSON-GEORGE (NPI# 1992916134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992916134 |
| Entity Type | Individual |
| Full Name | DR. CYNTHIA L JOHNSON-GEORGE |
| Credential | PH.D. |
| Practice Address |
685 E California Blvd Pasadena CA 91106-3847 |
| Practice Telephone | 6262447723 |
| Mailing Telephone | 6262447723 |
| Mailing Fax Number | 7033563461 |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2017-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
5894 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
0810000964 | VA | Behavioral Health & Social Service Providers |
| Street Address |
685 E CALIFORNIA BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91106-3847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447268784 | Andrea Davis Ph.d | Psychologist | 685 E California Blvd, Pasadena, CA 91106-3847 | 2006-08-03 |
| 1528434172 | Andrea Davis | Psychologist | 685 E California Blvd, Pasadena, CA 91106-3847 | 2015-08-18 |
| 1952709842 | Christine Kurata | Marriage & Family Therapist | 685 E California Blvd, Pasadena, CA 91106-3847 | 2014-12-09 |
| 1750788501 | Trevor Alleman | Student in an Organized Health Care Education/Training Program | 685 E California Blvd, Pasadena, CA 91106-3847 | 2014-11-21 |
| 1548694128 | Kassandra Kirk Schumacher | Student in an Organized Health Care Education/Training Program | 685 E California Blvd, Pasadena, CA 91106-3847 | 2013-08-30 |
| 1477987865 | Ashley Marie Nevin Itzhakian | Student in an Organized Health Care Education/Training Program | 685 E California Blvd, Pasadena, CA 91106-3847 | 2013-08-21 |
| 1508205758 | Danielle Kronfli | Student in an Organized Health Care Education/Training Program | 685 E California Blvd, Pasadena, CA 91106-3847 | 2013-06-20 |
| 1225474513 | Alyssa Michelle Anderson | Student in an Organized Health Care Education/Training Program | 685 E California Blvd, Pasadena, CA 91106-3847 | 2013-05-14 |
| 1679821433 | Ryan Thomas | Psychologist | 685 E California Blvd, Pasadena, CA 91106-3847 | 2012-08-27 |
| 1578837662 | Joanna Mcneil | Marriage & Family Therapist | 685 E California Blvd, Pasadena, CA 91106-3847 | 2012-03-07 |
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| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
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| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| 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.