HEIDI WEDEKIND (NPI# 1457424947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457424947 |
| Entity Type | Individual |
| Full Name | HEIDI WEDEKIND |
| Practice Address |
330 E Live Oak Ave Arcadia CA 91006-5617 |
| Mailing Address |
330e.live Oak Ave. Arcadia CA 91006 |
| Practice Telephone | 6268215858 |
| Mailing Telephone | 6268215858 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT 21447 | CA | Nursing Service Providers |
| Street Address |
330 E LIVE OAK AVE |
| City | ARCADIA |
| State | CA |
| Zip Code | 91006-5617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578595674 | Los Angeles County Department of Mental Health | Clinic/Center | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2006-07-07 |
| 1376187666 | Veronica Natividad | Community Health Worker | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2019-10-30 |
| 1447808472 | Andrea Wolpert | Social Worker | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2019-09-03 |
| 1639666365 | Kyunghwa Park | Pharmacist | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2018-04-18 |
| 1710334313 | Mary Pambukyan | Case Manager/Care Coordinator | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2016-05-24 |
| 1598124869 | Rolando Perez | Counselor | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2016-02-16 |
| 1528436482 | Kimberly Moser | Counselor | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2015-09-09 |
| 1346620218 | Hilda Guzman | Rehabilitation Practitioner | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2015-06-04 |
| 1891196390 | Elsa Leticia Hernandez | Counselor | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2014-09-16 |
| 1134520307 | Anna Teresa Mejia | Social Worker | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2014-09-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225510696 | Sheri Shanese Calhoun | Social Worker | 330 E. Live Oak Avenue, Arcadia, CA 91006 | 2018-09-03 |
| 1083129639 | Song Han | Acupuncturist | 14 El Dorado Street, Suite 15, Arcadia, CA 91006 | 2017-12-05 |
| 1154842177 | Cathleen Noel Walsh | Nurse Practitioner | 815 E. Longden Ave, Arcadia, CA 91006 | 2017-06-29 |
| 1881146512 | Mitchell Gee | Pharmacist | 2124 Highland Oaks Dr, Arcadia, CA 91006 | 2016-10-28 |
| 1487003059 | Michael Stewart | Case Manager/Care Coordinator | 800 S. Santa Anita Ave., Arcadia, CA 91006 | 2016-06-06 |
| 1639525983 | Alex Yu | Chiropractor | 202 S. First Ave, Arcadia, CA 91006 | 2016-05-05 |
| 1447637731 | Angel Care Hospice of Arcadia, Inc. | Respite Care | 4115 E Live Oak Ave, Arcadia, CA 91006 | 2015-05-06 |
| 1588050678 | Joel Lim | Internal Medicine | 440 E Huntington Dr Ste 200, Arcadia, CA 91006 | 2015-04-15 |
| 1427497981 | White Wings Hospice Inc | Hospice Care, Community Based | 333 N Santa Anita Ave Ste 5, Arcadia, CA 91006 | 2013-06-18 |
| 1649511551 | Margaret Lihani | Social Worker | 41 E. Foothill Blvd., Suite 200-a, Arcadia, CA 91006 | 2013-03-04 |
| Find all providers in zip 91006 | ||||
| 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 |
|---|---|---|---|---|
| 1952478109 | Rosalie Casillas | Licensed Psychiatric Technician | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2006-11-30 |
| 1295809465 | Brady Scott Gallagher | Licensed Psychiatric Technician | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2006-11-20 |
| 1023181518 | Lisa Vanessa Enriquez | Licensed Psychiatric Technician | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2006-11-15 |
| 1528145851 | Keith Wayne Mcdow | Licensed Psychiatric Technician | 330 E Live Oak Ave, Arcadia, CA 91006-5617 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.