EDGARDO MENVIELLE (NPI# 1053405985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053405985 |
| Entity Type | Individual |
| Full Name | EDGARDO MENVIELLE |
| Practice Address |
2500 E Foothill Blvd Ste 406 Pasadena CA 91107-7122 |
| Practice Telephone | 6265698074 |
| Mailing Telephone | 6265698074 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
C43180 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
C43180 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| The Whole Child, 10155 Colima Road, Whittier, CA 90603 | 5626920383 |
| Street Address |
2500 E FOOTHILL BLVD STE 406 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-7122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625738 | Acro Consultancy Services A Psychological Corporation | Clinic/Center | 2500 E Foothill Blvd Ste 406, Pasadena, CA 91107-7122 | 2020-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1023401122 | Ara Gregory Barkev Darakjian | Psychiatry & Neurology | 236 W Mountain St # 109-e, Pasadena, CA 91103 | 2015-03-12 |
| 1104261270 | Kristina Eipl | Psychiatry & Neurology | 69 N Catalina Ave, Pasadena, CA 91106 | 2013-05-02 |
| 1154663177 | Howard I Wilson | Psychiatry & Neurology | 2935 Larmona Dr, Pasadena, CA 91107-1125 | 2013-03-18 |
| 1669743464 | John D. F. Tarr M.d., Ph.d., Inc | Psychiatry & Neurology | 280 South Arroyo Boulevard, Pasadena, CA 91105-1507 | 2012-01-25 |
| 1053688689 | Michael Carl Storrie-lombardi | Psychiatry & Neurology | 798 N Mar Vista Ave, Pasadena, CA 91104-4617 | 2011-11-28 |
| 1770714735 | Warren R Procci | Psychiatry & Neurology | 230 S San Rafael Ave, Pasadena, CA 91105-1525 | 2009-08-06 |
| 1598960130 | Foos Psychiatric Medical Group Inc | Psychiatry & Neurology | 2810 East Del Mar Blvd, Suite 11b, Pasadena, CA 91107 | 2007-06-15 |
| 1194842625 | Rogelio Leonardo Whyte | Psychiatry & Neurology | 595 East Colorado Blvd, Suite 507, Pasadena, CA 91101-2039 | 2007-03-22 |
| 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.