MR. PHILIP E CORRADO (NPI# 1326159997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326159997 |
| Entity Type | Individual |
| Full Name | MR. PHILIP E CORRADO |
| Credential | PH.D |
| Practice Address |
1017 S Fair Oaks Ave Pasadena CA 91105-2621 |
| Mailing Address |
Po Box 50470 Pasadena CA 91115-0470 |
| Practice Telephone | 6264036200 |
| Mailing Telephone | 6264036200 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY 16628 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | PSY 16628 | 01 |
| Street Address |
1017 S FAIR OAKS AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629060694 | Clayton Alexander Varga | Anesthesiology | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2005-08-16 |
| 1871138529 | Norman Wong | Physical Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2019-11-16 |
| 1346802840 | Shakeela Swaby | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2019-07-03 |
| 1801351531 | Rod William Young | Physical Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2019-02-06 |
| 1750890083 | Sioneh Paria | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2017-09-29 |
| 1831626043 | Faith Adole | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2017-05-18 |
| 1437696226 | Michela S. Termechi | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105 | 2017-01-31 |
| 1376093914 | Alexandra Kirtchik | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2016-10-06 |
| 1649727587 | Amanda Miller | Occupational Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2016-09-08 |
| 1073960613 | Aparna Kuvalekar | Physical Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2016-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578050803 | Julia Musker | Psychologist | 595 E Colorado Blvd Ste 412, Pasadena, CA 91101-2018 | 2018-04-23 |
| 1346474038 | Paula Marie Santos | Psychologist | 2700 E Foothill Blvd Ste 100, Pasadena, CA 91107-3443 | 2009-05-08 |
| 1811531197 | Ryan Wood | Psychologist | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2019-10-30 |
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|---|---|---|---|---|
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| 1841804853 | Nia Mayers Franklin | Psychologist | 8940 S Hobart Blvd, Los Angeles, CA 90047-3615 | 2020-09-08 |
| 1871104307 | Erania Marie Martin-lang | Psychologist | 13329 Arbor Park Ln, Moreno Valley, CA 92553-6916 | 2020-08-10 |
| 1366051070 | Shellie Renae Higuera | Psychologist | 5059 Day Dr, Fairfield, CA 94533-6597 | 2020-07-28 |
| 1730706979 | Oak Forest Recovery Center, Inc. | Psychologist | 5655 Lindero Canyon Rd Ste 425, Westlake Village, CA 91362-4046 | 2020-07-04 |
| 1861016842 | Valley Harvest Church of Merced | Psychologist | 557 W 26th St, Merced, CA 95340-2825 | 2020-06-04 |
| 1629691993 | Franklin Clifford Wimberly | Psychologist | 10 Pleasant Walk, Aliso Viejo, CA 92656-4266 | 2020-05-21 |
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1386282762 | Danielle Wischenka | Psychologist | 155 E Campbell Ave Ste 219, Campbell, CA 95008-2062 | 2019-12-16 |
| 1528525326 | Sylvia Cary | Psychologist | 4650 Sepulveda Blvd Apt 201, Sherman Oaks, CA 91403-2462 | 2019-02-28 |
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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.