PROTOTYPES (NPI# 1336571280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336571280 |
| Entity Type | Organization |
| Organization Name | PROTOTYPES |
| Practice Address |
2555 E Colorado Blvd Ste.100 Pasadena CA 91107-6622 |
| Practice Telephone | 6265772261 |
| Practice Fax Number | 6265772543 |
| Mailing Telephone | 6265772261 |
| Mailing Fax Number | 6265772543 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |
| Authorized Official Name | DORIS DOSS (MANAGER) |
| Authorized Official Telephone | 6265772261 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LCS 28715 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457797540 | Prototypes | Case Management | 2555 E Colorado Blvd # 100, Pasadena, CA 91107-6622 | 2013-05-15 |
| 1659654986 | Prototypes | Licensed Vocational Nurse | 2555 E. Colorado Blvd, Suite 100-101, Pasadena, CA 91107 | 2011-09-22 |
| 1750587507 | Prototypes | Substance Abuse Rehabilitation Facility | 3755 Valle Vista Dr, Chino Hills, CA 91709-2943 | 2007-06-26 |
| 1245867241 | Prototypes | Counselor | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-03-27 |
| 1265069355 | Prototypes | Counselor | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-03-26 |
| 1164801643 | Prototypes | Case Management | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2015-05-29 |
| 1568891612 | Prototypes | Exclusive Provider Organization | 2555 E Colorado Blvd, Suite 100-101, Pasadena, CA 91107-6622 | 2013-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PROTOTYPES, INC. | Pike Tower 520 Pike St # 2600, Seattle, WA 98101-4001 |
| Street Address |
2555 E COLORADO BLVD STE.100 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-6622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467557371 | Kathryn Farrelly | Counselor | 2555 E Colorado Blvd, Suite 100, Pasadena, CA 91107-6622 | 2006-09-14 |
| 1407383995 | Laurelle Montagne | Occupational Therapist | 2555 E Colorado Blvd, Pasadena, CA 91107-6622 | 2017-05-16 |
| 1093255085 | Marillyn Bahamon | Licensed Vocational Nurse | 2555 E Colorado Blvd, Suite100, Pasadena, CA 91107-6622 | 2017-02-24 |
| 1710422332 | Yasmin Attia | Student in an Organized Health Care Education/Training Program | 2555 E Colorado Blvd, Suite 100, Pasadena, CA 91107-6622 | 2017-01-05 |
| 1194271726 | Keeley C Hart | Student in an Organized Health Care Education/Training Program | 2555 E Colorado Blvd, Suite 100, Pasadena, CA 91107-6622 | 2016-09-01 |
| 1003277021 | James Wong | Rehabilitation Practitioner | 2555 E Colorado Blvd, Suite 100, Pasadena, CA 91107-6622 | 2016-03-18 |
| 1477914562 | Alicia E Perez | Licensed Vocational Nurse | 2555 E Colorado Blvd, Suite 100, Pasadena, CA 91107-6622 | 2016-03-16 |
| 1902267735 | Marie Hernandez | Rehabilitation Practitioner | 2555 E Colorado Blvd, Suite 100, Pasadena, CA 91107-6622 | 2016-03-07 |
| 1801264007 | Kenda Woolfson | Student in an Organized Health Care Education/Training Program | 2555 E Colorado Blvd, #100, Pasadena, CA 91107-6622 | 2015-09-04 |
| 1184014169 | Grandcare Hospice Services LLC | Hospice Care, Community Based | 2555 E Colorado Blvd, Suite 400-b, Pasadena, CA 91107-6622 | 2015-01-29 |
| Find all providers in the same location | ||||
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253177 | Ascend Behavior Consultants LLC | Community/Behavioral Health | 680 E Colorado Blvd, Pasadena, CA 91101-6143 | 2020-07-28 |
| 1437797024 | Elevate Concierge Health, LLC | Community/Behavioral Health | 1280 Afton St, Pasadena, CA 91103-2303 | 2019-12-15 |
| 1841853645 | Prince Health Care Services Inc | Community/Behavioral Health | 8000 Jumpers Hole Rd Ste 212, Pasadena, MD 21122-1046 | 2019-04-17 |
| 1659839298 | North East Los Angeles Psychology | Community/Behavioral Health | 380 S Lake Ave Ste 205, Pasadena, CA 91101-5063 | 2019-03-02 |
| 1972053726 | Five Acres- The Boys' and Girls' Aid Society of Los Angeles County | Community/Behavioral Health | 1236 Solita Rd, Pasadena, CA 91103-2452 | 2016-10-05 |
| 1326591090 | Lead Way Behavioral Services | Community/Behavioral Health | 177 E Colorado Blvd # 200, Pasadena, CA 91105-1986 | 2016-07-29 |
| 1689090169 | Shiloh Center Music Theraphy Services LLC | Community/Behavioral Health | 819 E Pasadena Rd, Pasadena, MD 21122-4002 | 2014-03-08 |
| 1649694324 | Behavior Frontiers | Community/Behavioral Health | 155 N Lake Ave Ste 800, Pasadena, CA 91101-1857 | 2014-02-14 |
| 1609149459 | Whole Mind Wellness Services | Community/Behavioral Health | 32 S Raymond Ave Ste 3b, Pasadena, CA 91105-1961 | 2012-02-09 |
| 1154649564 | D'veal Family and Youth Services | Community/Behavioral Health | 1905 Lincoln Ave, Pasadena, CA 91103-1315 | 2010-05-10 |
| 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.