MS. THERESA EBERE NWOSU (NPI# 1053482133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053482133 |
| Entity Type | Individual |
| Full Name | MS. THERESA EBERE NWOSU |
| Credential | PSYCH. TECH. |
| Practice Address |
529 Maple Ave Los Angeles CA 90013-1511 |
| Practice Telephone | 2134306700 |
| Practice Fax Number | 2138956238 |
| Mailing Telephone | 2134306700 |
| Mailing Fax Number | 2138956238 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2013-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PT 30501 | CA | Behavioral Health & Social Service Providers |
| Y | 167G00000X | Licensed Psychiatric Technician | PT30501 | CA | Nursing Service Providers |
| Street Address |
529 MAPLE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90013-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621630 | Felicitas Acosta | Community Health Worker | 529 Maple Ave, Los Angeles, CA 90013-1511 | 2020-05-28 |
| 1265082200 | Mahsa Sabouri | Student in an Organized Health Care Education/Training Program | 529 Maple Ave, Los Angeles, CA 90013-1511 | 2019-09-11 |
| 1306402110 | Deandre Thomas Turner | Community Health Worker | 529 Maple Ave, Los Angeles, CA 90013-1511 | 2019-05-16 |
| 1457818361 | Tania Lucia Scala | Community Health Worker | 529 Maple Ave, Los Angeles, CA 90013-1511 | 2019-02-27 |
| 1972075612 | Danny Chen | Community Health Worker | 529 Maple Ave, Los Angeles, CA 90013-1511 | 2018-12-19 |
| 1083183362 | Esteban Moreno | Social Worker | 529 Maple Ave, Los Angeles, CA 90013-1511 | 2018-11-16 |
| 1740759026 | Oludara Adeeyo | Social Worker | 529 Maple Ave, Los Angeles, CA 90013-1511 | 2018-11-16 |
| 1477068112 | Victor Miranda Jr. | Case Manager/Care Coordinator | 529 Maple Ave, Los Angeles, CA 90013-1511 | 2017-12-04 |
| 1639682255 | Latisha O'connor | Social Worker | 529 Maple Ave, Los Angeles, CA 90013-1511 | 2017-11-06 |
| 1720507379 | Angelina Lizarraras | Community Health Worker | 529 Maple Ave, Los Angeles, CA 90013-1511 | 2017-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013470327 | Mia Rashap | Technician, Other | 555 W 5th St, Los Angeles, CA 90013 | 2019-04-12 |
| 1992263941 | Shiane Lyana Ferretti | Technician, Other | 555 West 5th Street, Los Angeles, CA 90013 | 2019-03-08 |
| 1629567060 | Dtla Med | Clinic/Center | 431 S Hewitt St Ste B, Los Angeles, CA 90013 | 2018-05-01 |
| 1386150886 | Abel Joseph Apodaca Jr. | Counselor | 512 East 4th Street, Los Angeles, CA 90013 | 2017-12-19 |
| 1578075560 | Anthony Perez | Case Manager/Care Coordinator | 522 S San Pedro, Los Angeles, CA 90013 | 2017-10-30 |
| 1740724574 | Royalty Group Services Inc | Clinic/Center | 555 West Fifth Street 31st Floor, Los Angeles, CA 90013 | 2016-12-13 |
| 1275930877 | Araceli Zuniga | Rehabilitation Practitioner | 640 South Maple Avenue, Los Angeles, CA 90013 | 2014-11-25 |
| 1558785956 | Carlos Mejia | Counselor | 470 E. 3rd St., Los Angeles, CA 90013 | 2014-02-06 |
| 1679908081 | Troy Gabrielson | Counselor | 470 E. 3rd Street, Suite C, Los Angeles, CA 90013 | 2013-09-05 |
| 1417298753 | Pierre Houbein | Physician Assistant | 311 Winston St., Los Angeles, CA 90013 | 2013-03-12 |
| Find all providers in zip 90013 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255716098 | Grace Junko Gerardo | Licensed Psychiatric Technician | 226 S. Ave. 52, Los Angeles, CA 90042-4504 | 2015-07-22 |
| 1457786147 | Griselda Flores | Licensed Psychiatric Technician | 2600 Wilshire Blvd, Los Angeles, CA 90057-3400 | 2013-09-12 |
| 1427104728 | Leslie Michelle Blakeney | Licensed Psychiatric Technician | 529 S Maple Ave., Los Angeles, CA 90013 | 2007-01-27 |
| 1467064717 | Jessica Vazquez | Licensed Psychiatric Technician | 679 S New Hampshire Ave Ste 400, Los Angeles, CA 90005-1355 | 2020-08-18 |
| 1558996512 | Yvonne Elisa Molina | Licensed Psychiatric Technician | 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 | 2020-03-10 |
| 1407403439 | Leanna Lynn Ramirez | Licensed Psychiatric Technician | 1711 W Temple St, Los Angeles, CA 90026-5421 | 2019-08-23 |
| 1992357404 | Bernadette Chavez | Licensed Psychiatric Technician | 5201 S Vermont Ave, Los Angeles, CA 90037-3527 | 2019-07-15 |
| 1366000556 | Tyler Shirk | Licensed Psychiatric Technician | 600 St Paul Ave Ste 200, Los Angeles, CA 90017-5686 | 2019-06-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90013 |
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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.