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).
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 |
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 |
Street Address |
447 N EL MOLINO AVE |
City | PASADENA |
State | CA |
Zip Code | 91101-1403 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 91101 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
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 |
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.