NEURO-REHAB PSYCHOLOGICAL CONSULTATION & TREATMENT SERVICES, INC. (NPI# 1164803136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164803136 |
| Entity Type | Organization |
| Organization Name | NEURO-REHAB PSYCHOLOGICAL CONSULTATION & TREATMENT SERVICES, INC. |
| Practice Address |
65 N. Madison Ave #709 Pasadena CA 91101 |
| Mailing Address |
995 E Green St #422 Pasadena CA 91106-2410 |
| Practice Telephone | 6267107838 |
| Practice Fax Number | 6262704234 |
| Mailing Telephone | 6267107838 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | MONA MIKAEL (CLINICIAN/PSYCHOLOGIST) |
| Authorized Official Telephone | 6267107838 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
25089 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 630 S Raymond Ave, #340, Pasadena, CA 911053278 | 6267107838 | 6262704234 |
| Street Address |
65 N. MADISON AVE #709 |
| City | PASADENA |
| State | CA |
| Zip Code | 91101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881231116 | Center for Rehabilitation Psychology and Neuropsychology, PC | Psychologist | 251 King Dr, Walnut Creek, CA 94595-1516 | 2019-12-05 |
| 1346885878 | Edna M Osorio Lopez | Psychologist | 926 W Philadelphia St Unit 84, Ontario, CA 91762-6240 | 2019-11-07 |
| 1790348712 | Sophia Cavalcanti De Albuquerque Serpa | Psychologist | 7601 Imperial Hwy # 2049, Downey, CA 90242-3456 | 2019-04-16 |
| 1508230541 | David Reynoso | Psychologist | 5175 Flora St, Montclair, CA 91763-3865 | 2015-11-13 |
| 1346687605 | John Terrance Hackett | Psychologist | 9226 Hinton Ave, Delhi, CA 95315-8200 | 2013-05-28 |
| 1982965091 | Consuelo Flores | Psychologist | 454 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2012-06-05 |
| 1245544287 | Cari Freeman | Psychologist | 3120 Cohasset Rd Ste 6, Valley Oak Children's Services, Chico, CA 95973-0978 | 2010-08-02 |
| 1477790319 | Natalie Olivia Orosco | Psychologist | 15835 Avenida Venusto, Apt 426, San Diego, CA 92128-3318 | 2009-01-14 |
| 1376794560 | Jwch Institute, Inc. | Psychologist | 521 S. San Pedro Street, Los Angeles, CA 90013-2148 | 2008-10-06 |
| 1346418670 | Marilyn Susan Martinez | Psychologist | 2737 W, Cecil Ave., Delano, CA 93215 | 2008-02-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NEURO-REHAB PSYCHOLOGICAL CONSULTATION & TREATMENT SERVICES, INC..
| 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.