DR. JACQUELINE RUSSIANO MILES (NPI# 1518178771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518178771 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE RUSSIANO MILES |
| Credential | PHD |
| Practice Address |
745 S Marengo Ave Suite 203 Pasadena CA 91106-4735 |
| Mailing Address |
3568 Mountain View Ave Pasadena CA 91107-4616 |
| Practice Telephone | 6265774733 |
| Mailing Telephone | 6264409974 |
| Mailing Fax Number | 6264409979 |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 7882 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143327 | Jacqueline Miles | Nurse Practitioner | 5224 S State Highway 360 Ste 230, Grand Prairie, TX 75052-0964 | 2020-01-24 |
| 1508356106 | Jacqueline Miles | Licensed Practical Nurse | 40 Lyth Ave, Buffalo, NY 14208-1405 | 2018-05-18 |
| Street Address |
745 S MARENGO AVE SUITE 203 |
| City | PASADENA |
| State | CA |
| Zip Code | 91106-4735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992784508 | Marla Pollack | Psychologist | 745 S Marengo Ave, Ste 301, Pasadena, CA 91106-4740 | 2006-01-12 |
| 1942656798 | Reiko Lauren Ikemoto-joseph | Marriage & Family Therapist | 745 S Marengo Ave, Pasadena, CA 91106-4735 | 2016-05-11 |
| 1528372513 | David L. Antion, Ph.d., A Professional Corporation | Psychologist | 745 S Marengo Ave, 102, Pasadena, CA 91106-4735 | 2010-08-02 |
| 1154647345 | Dr Elizabeth Shon, Psychological Services Inc. | Psychologist | 745 S Marengo Ave, Suite 105, Pasadena, CA 91106-4735 | 2010-04-13 |
| 1922248319 | Fallynn Christine Cox | Psychologist | 745 S Marengo Ave, Pasadena, CA 91106-4735 | 2009-02-25 |
| 1467623710 | Alison Lewis | Social Worker | 745 S Marengo Ave, Suite 100, Pasadena, CA 91106-4735 | 2008-03-14 |
| 1518094432 | Michael Gutstadt | Psychologist | 745 S Marengo Ave, Pasadena, CA 91106-4735 | 2007-02-27 |
| 1487706248 | Elizabeth Shon | Psychologist | 745 S Marengo Ave, Pasadena, CA 91106-4735 | 2007-01-18 |
| 1548312150 | David Lee Antion | Psychologist | 745 S Marengo Ave, Ste 102, Pasadena, CA 91106-4737 | 2007-01-17 |
| 1972661890 | Robert L. Ritchie | Counselor | 745 S Marengo Ave, Pasadena, CA 91106-4735 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780230441 | Dr. Matthew Calkins, Psy.d., A Psychological Corporation | Psychologist | 595 E Colorado Blvd Ste 335, Pasadena, CA 91101-2060 | 2019-08-17 |
| 1568022648 | Mindfull Neuropsychology and Psychology | Psychologist | 3838 E Foothill Blvd, Pasadena, CA 91107-2203 | 2019-06-19 |
| 1528533924 | Nina Huong Nguyen | Psychologist | 595 E Colorado Blvd Ste 802, Pasadena, CA 91101-2001 | 2018-10-11 |
| 1598288359 | Steven I Brawer Phd Clinical Psychologist Inc | Psychologist | 766 E Colorado Blvd Ste 203, Pasadena, CA 91101-5421 | 2017-07-24 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1396192282 | Angel Duncan | Psychologist | 745 S Marengo Ave Ste 200, Pasadena, CA 91106-4738 | 2016-05-20 |
| 1568847697 | James Bernhardt | Psychologist | 2330 E Del Mar Blvd, Apt. 117, Pasadena, CA 91107-4718 | 2015-07-30 |
| 1043691975 | Deborah Liddi Brown | Psychologist | 446 S Marengo Ave Ste B, Pasadena, CA 91101-3113 | 2015-06-16 |
| 1144627878 | The Arroyos Psychological Associates, Inc. | Psychologist | 1 West California Boulevard, Pasadena, CA 91105 | 2014-11-24 |
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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.