MS. JOAN ELLISON


Address: 447 N El Molino Ave, Pasadena, CA 91101-1403
Phone: 6265778480

MS. JOAN ELLISON (NPI# 1568658615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568658615
Entity Type Individual
Full Name MS. JOAN ELLISON
Credential PSYA
Practice Address 447 N El Molino Ave
Pasadena
CA 91101-1403
Mailing Address 355 Auburn Ave
Sierra Madre
CA 91024-1101
Practice Telephone 6265778480
Practice Fax Number 6265778978
Mailing Telephone 9145365708
Enumeration Date 2007-09-22
Last Update Date 2013-05-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
000388-1 NY Behavioral Health & Social Service Providers
Y 225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 102L00000X Psychoanalyst 000256-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 447 N EL MOLINO AVE
City PASADENA
State CA
Zip Code 91101-1403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306899091 Heritage Clinic and The Community Assistance Program for Seniors Psychologist 447 N El Molino Ave, Pasadena, CA 91101-1403 2006-05-17
1366059719 Aurora Doreza Counselor 447 N El Molino Ave, Pasadena, CA 91101-1403 2020-09-29
1417560533 Patricia L. Roach Student in an Organized Health Care Education/Training Program 447 N El Molino Ave, Pasadena, CA 91101-1403 2020-08-28
1295348308 Manuel Andrew Malek Student in an Organized Health Care Education/Training Program 447 N El Molino Ave, Pasadena, CA 91101-1403 2020-08-28
1487267936 Chris Patton Student in an Organized Health Care Education/Training Program 447 N El Molino Ave, Pasadena, CA 91101-1403 2020-08-25
1356952279 Breanna Renee Abram Student in an Organized Health Care Education/Training Program 447 N El Molino Ave, Pasadena, CA 91101-1403 2020-08-13
1700414281 Isabel Banderas Case Manager/Care Coordinator 447 N El Molino Ave, Pasadena, CA 91101-1403 2020-03-30
1255968921 Michelle Llamas Case Manager/Care Coordinator 447 N El Molino Ave, Pasadena, CA 91101-1403 2020-03-24
1336781624 Princess Jones Counselor 447 N El Molino Ave, Pasadena, CA 91101-1403 2019-10-08
1275183212 Milena Semenova Case Manager/Care Coordinator 447 N El Molino Ave, Pasadena, CA 91101-1403 2019-09-11
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669008991 Delman Lee Williams Rehabilitation Practitioner 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 2020-03-18
1548805344 Aimee Isabelle Rodriguez Rehabilitation Practitioner 100 W Walnut St Ste 375110, Pasadena, CA 91103-3697 2019-11-15
1518427830 Samantha Jo Elvira Haun Rehabilitation Practitioner 867 N Fair Oaks Ave # 867, Pasadena, CA 91103-3050 2019-03-22
1477041580 Imani Nicole Glenn Rehabilitation Practitioner 1575 E Washington Blvd, Pasadena, CA 91104-2675 2018-04-24
1093230252 John Jesus Smith Rehabilitation Practitioner 867 Fair Oaks Ave, Pasadena, CA 91103 2017-08-09
1477076172 Towana Danielle Hooks Rehabilitation Practitioner 867 North Fair Oaks, Pasadena, CA 91103 2017-07-25
1346770443 Amanda Grace Gentz Rehabilitation Practitioner 210 S De Lacey, Ste 110, Pasadena, CA 91105 2017-06-13
1588115281 Ramon Banuelos Rehabilitation Practitioner 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 2016-10-18
1366821613 Claudia Boileu-flores Rehabilitation Practitioner 940 Avenue, 64, Pasadena, CA 91105 2015-05-20
1497161756 Marine Bambakyan Rehabilitation Practitioner 66 Hurlbut St Fl 2, Pasadena, CA 91105-4026 2014-07-08
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Competitor

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City PASADENA
Zip Code 91101

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Dataset Information

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.

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