TARA YASMINE KHADR (NPI# 1033761069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033761069 |
Entity Type | Individual |
Full Name | TARA YASMINE KHADR |
Practice Address |
223 N Jackson St Glendale CA 91206-4334 |
Mailing Address |
1155 Hacienda Pl Apt 211 West Hollywood CA 90069-2739 |
Practice Telephone | 8182413111 |
Enumeration Date | 2019-07-10 |
Last Update Date | 2019-07-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
Street Address |
223 N JACKSON ST |
City | GLENDALE |
State | CA |
Zip Code | 91206-4334 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497897292 | Glendale Unified School District | Local Education Agency (LEA) | 223 N Jackson St, Glendale, CA 91206-4334 | 2007-02-12 |
1285246264 | Katrina Arabyan | Marriage & Family Therapist | 223 N Jackson St, Glendale, CA 91206-4334 | 2020-08-20 |
1407467541 | Jennifer Hayley Goss | Counselor | 223 N Jackson St, Glendale, CA 91206-4334 | 2020-08-12 |
1316557945 | Casey Nickole Roberts | Counselor | 223 N Jackson St, Glendale, CA 91206-4334 | 2020-08-07 |
1073121158 | Candice C Rivera | Social Worker | 223 N Jackson St, Glendale, CA 91206-4334 | 2020-07-15 |
1063046423 | Talin Deryaghoobian | Marriage & Family Therapist | 223 N Jackson St, Glendale, CA 91206-4334 | 2020-02-25 |
1609413681 | Melissa Liliana Ramirez | Marriage & Family Therapist | 223 N Jackson St, Glendale, CA 91206 | 2019-12-09 |
1528603123 | Haley Coleen Colombo | Counselor | 223 N Jackson St, Glendale, CA 91206-4334 | 2019-11-07 |
1689228371 | Stephanie Aida Michaelian | Counselor | 223 N Jackson St, Glendale, CA 91206-4380 | 2019-07-30 |
1114585874 | Michele Diane Schanley | Counselor | 223 N Jackson St, Glendale, CA 91206-4334 | 2019-05-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
Find all providers in zip 91206 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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1215537709 | Kendra Nicole Rosenfeld | Counselor | 10218 N 60th Ln, Glendale, AZ 85302-1256 | 2020-10-26 |
1609483825 | Wisemind Sober Living and Treatment, LLC | Counselor | 5755 W Irma Ln, Glendale, AZ 85308-9178 | 2020-09-30 |
1740814664 | Maryjoy C Kearns | Counselor | 7400 W Arrowhead Clubhouse Dr Apt 2036, Glendale, AZ 85308-8825 | 2020-02-29 |
1366089997 | Lilit Ginosyan Hayrapetyan | Counselor | 401 N Brand Blvd Ste 366, Glendale, CA 91203-4427 | 2019-12-02 |
1104473552 | Sabrina Laporta | Counselor | 7037 65th Pl Apt 1r, Glendale, NY 11385-6426 | 2019-08-21 |
1760042667 | Arineh Ohanian | Counselor | 1022 Elm Ave, Glendale, CA 91201-3424 | 2019-06-13 |
1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
1093275018 | Heather Marie Ford | Counselor | 7303 W Robin Ln, Glendale, AZ 85310-5653 | 2019-03-25 |
1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
1992209431 | Jessica Ann Van Leer | Counselor | 17505 N 79th Ave Ste 410, Glendale, AZ 85308-8732 | 2018-03-20 |
Find all providers in GLENDALE |
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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.