DR. ANDREA MARIE LETAMENDI (NPI# 1578724159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578724159 |
Entity Type | Individual |
Full Name | DR. ANDREA MARIE LETAMENDI |
Credential | PH.D. |
Practice Address |
210 S De Lacey Ave Suite 101 Pasadena CA 91105-2048 |
Mailing Address |
24324 Cross St Newhall CA 91321-3539 |
Practice Telephone | 6263957100 |
Enumeration Date | 2008-06-17 |
Last Update Date | 2016-01-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
Y | 103TC0700X |
Psychologist Specialization: Clinical |
27906 | CA | Behavioral Health & Social Service Providers |
N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
Street Address |
210 S DE LACEY AVE SUITE 101 |
City | PASADENA |
State | CA |
Zip Code | 91105-2048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841382181 | Cong Tam Ngoc Nguyen | Counselor | 210 S De Lacey Ave, Suite #110, Pasadena, CA 91105-2048 | 2006-09-28 |
1558895185 | Iris Zheng | Student in an Organized Health Care Education/Training Program | 210 S De Lacey Ave, Ste 110, Pasadena, CA 91105-2048 | 2017-04-20 |
1225575285 | Milagros M Serrano Ortiz | Marriage & Family Therapist | 210 S De Lacey Ave, Suite 110, Pasadena, CA 91105-2048 | 2017-01-27 |
1962948463 | Maaria Khan | Marriage & Family Therapist | 210 S De Lacey Ave, Suite 110, Pasadena, CA 91105-2048 | 2017-01-09 |
1124562145 | Carlos Todd Jr. | Student in an Organized Health Care Education/Training Program | 210 S De Lacey Ave, Suite 110, Pasadena, CA 91105-2048 | 2016-12-09 |
1700334323 | Alice Silvestre | Marriage & Family Therapist | 210 S De Lacey Ave, Pasadena, CA 91105-2048 | 2016-09-12 |
1710433883 | Kevin Amaya | Rehabilitation Practitioner | 210 S De Lacey Ave, 110, Pasadena, CA 91105-2048 | 2016-08-29 |
1528512654 | Salman Farooq | Marriage & Family Therapist | 210 S De Lacey Ave, 110, Pasadena, CA 91105-2048 | 2016-08-05 |
1932552395 | Jessica Gomez | Student in an Organized Health Care Education/Training Program | 210 S De Lacey Ave, Suite 110, Pasadena, CA 91105-2048 | 2016-07-20 |
1528411147 | Kelsey Smoker | Student in an Organized Health Care Education/Training Program | 210 S De Lacey Ave, Suite 110, Pasadena, CA 91105-2048 | 2016-07-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
Find all providers in zip 91105 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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1366009060 | Hathaway Sycamores Child and Family Services | Psychologist | 2101 E Washington Blvd, Pasadena, CA 91104-1825 | 2019-05-29 |
1417514209 | Hathaway Sycamores Child and Family Services | Psychologist | 515 E Ashtabula St, Pasadena, CA 91104-4306 | 2019-05-28 |
1447817010 | Samantha Miller | Psychologist | 107 S Fair Oaks Ave Ste 219, Pasadena, CA 91105-2082 | 2019-05-20 |
1639533029 | Biljana Bujko | Psychologist | 745 S Marengo Ave Ste 202, Pasadena, CA 91106-4739 | 2016-04-11 |
1477919454 | Armine Melkonyan | Psychologist | 595 E Colorado Blvd Ste 409, Pasadena, CA 91101-2018 | 2016-01-07 |
1073982344 | Safe Harbor Christian Counseling of Annapolis | Psychologist | 206 Pleasantview Ave, Pasadena, MD 21122-4042 | 2015-09-17 |
1861869489 | Supatra Hanna Tovar | Psychologist | 1000 E Walnut St Ste 246, Pasadena, CA 91106-5370 | 2015-08-31 |
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.