STACY JOHNSON


Address: 424 N Lake Ave, Suite 302, Pasadena, CA 91101-1200
Phone: 6267939444

STACY JOHNSON (NPI# 1619273463) 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) 1619273463
Entity Type Individual
Full Name STACY JOHNSON
Credential M,S., CCC-SLP
Practice Address 424 N Lake Ave
Suite 302
Pasadena
CA 91101-1200
Mailing Address 1159 Linden Ave
Apt 6
Glendale
CA 91201-1569
Practice Telephone 6267939444
Mailing Telephone 9095734982
Enumeration Date 2011-01-26
Last Update Date 2011-01-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 18545 CA Speech, Language and Hearing Service Providers

Other Providers STACY JOHNSON

NPI Name Taxonomy Address Enumeration
1609359116 Stacy Johnson Social Worker 134 West Park Central Sq, Springfield, MO 65806 2018-09-11
1699208553 Stacy Michele Johnson Registered Nurse 1934 Parker Ridge Rd, Peebles, OH 45660-9161 2017-04-07
1235672189 Stacy Nicole Johnson Contractor 259 Green Meadows Rd, Wilmer, TX 75172-3336 2016-11-27
1235595091 Stacy Johnson Counselor 621 Sw Alder St Ste 400, Portland, OR 97205-3619 2016-01-11
1467894220 Stacy Lynn Johnson Nurse Practitioner 420 Cty Rd. 26, Beulah, ND 58523 2013-07-22
1306187844 Stacy L Johnson Technician, Other 242 W Main St # 177, Hendersonville, TN 37075-3318 2013-03-07
1083967616 Stacy Ann Johnson Registered Nurse 300 Crosman Ter, Rochester, NY 14620-1822 2012-10-19
1336470863 Stacy Jeanine Johnson Counselor 9109 Foggy Meadown Road, Charlotte, NC 28269 2010-01-22
1851579387 Stacy L Johnson Licensed Practical Nurse 326 Shade Dr, Fairborn, OH 45324-4239 2008-02-06
1942492400 Stacy Johnson Counselor 719 Massachusetts St Ste 128, Lawrence, KS 66044-2345 2007-08-17

Office Location

Street Address 424 N LAKE AVE
SUITE 302
City PASADENA
State CA
Zip Code 91101-1200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275566952 Concord Home Health Care Home Health 424 N Lake Ave, #305, Pasadena, CA 91101 2006-07-08
1831524834 St. Arsenius Hospice Care, Inc. Hospice Care, Community Based 424 N Lake Ave, Suite 204, Pasadena, CA 91101-1200 2013-09-09
1255636015 Yvonne Ann Johansen Speech-Language Pathologist 424 N Lake Ave, Suite 304, Pasadena, CA 91101-1200 2011-01-25
1770885626 Pathways To Speech LLC Early Intervention Provider Agency 424 N Lake Ave, Suite 304, Pasadena, CA 91101-1200 2010-11-29
1992993042 Academy Home Health Care, Inc. Home Health 424 N Lake Ave, Suite 201, Pasadena, CA 91101-1200 2007-10-12
1548393978 Providence Home Health Care, Inc Home Health 424 N Lake Ave, Suite 202, Pasadena, CA 91101-1200 2007-03-14

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
Find all providers in zip 91101

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336746320 Tanya C Godbold Speech-Language Pathologist 4311 Rainy River Dr, Pasadena, TX 77504-3129 2020-10-03
1336773225 Crysta Song Speech-Language Pathologist 525 Orange Grove Pl, Pasadena, CA 91103-3358 2020-02-28
1134753783 Janel A. Umfress Speech-Language Pathologist 16 S Oakland Ave Ste 203, Pasadena, CA 91101-2042 2020-02-22
1780154310 Amanda Ann Zeller Speech-Language Pathologist 8515 Jenkins Road, Pasadena, MD 21122 2018-11-27
1306328133 Judith Klein Speech-Language Pathologist 8028 Ritchie Hwy Ste 210, Pasadena, MD 21122-1075 2018-08-29
1639656820 Tina Babajanians Speech-Language Pathologist 1440 Asbury Dr, Pasadena, CA 91104-3101 2018-07-20
1821584491 Rhonda Lynn Mackmer Speech-Language Pathologist 8221 Ritchie Hwy Ste 105, Pasadena, MD 21122-3939 2018-07-07
1972093748 Catherine Villagran Speech-Language Pathologist 595 E Colorado Blvd # M100, Pasadena, CA 91101-2039 2018-05-16
1467953828 Geomaris Rivera Speech-Language Pathologist 814a Mobile Dr, Pasadena, TX 77506-3216 2018-02-21
1316469976 Alexandra Scott Speech-Language Pathologist 235 La Vereda Road, Pasadena, CA 91105 2017-07-14
Find all providers in PASADENA

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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