STEPHANIE VICKERS


Address: 36 S Kinneloa Ave, Suite 200, Pasadena, CA 91107-3853
Phone: 6268443033

STEPHANIE VICKERS (NPI# 1679959696) 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) 1679959696
Entity Type Individual
Full Name STEPHANIE VICKERS
Practice Address 36 S Kinneloa Ave
Suite 200
Pasadena
CA 91107-3853
Practice Telephone 6268443033
Mailing Telephone 6268443033
Enumeration Date 2015-07-31
Last Update Date 2015-07-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician 30787 CA Nursing Service Providers

Other Providers STEPHANIE VICKERS

NPI Name Taxonomy Address Enumeration
1821602673 Stephanie Joy Vickers Naturopath 4510 Sw Valona Way, Portland, OR 97219-6827 2020-08-31
1114469442 Stephanie Vickers Technician 411 E Avenue D, Newberry, MI 49868-1414 2016-11-17
1336330430 Stephanie Vickers Pharmacist 1601 Sw Archer Rd # 119, Gainesville, FL 32608-1135 2007-08-05
1134661713 Stephanie Anne Vickers Nurse Practitioner 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 2016-11-14
1588962443 Stephanie L. Vickers Physical Therapist 2117 S Day St, Brenham, TX 77833-4528 2011-03-02

Office Location

Street Address 36 S KINNELOA AVE
SUITE 200
City PASADENA
State CA
Zip Code 91107-3853

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780706770 Stephanie D. Bennett Marriage & Family Therapist 36 S Kinneloa Ave, Pasadena, CA 91107-3853 2007-04-03
1891334504 Kevin Miguel Gomez Licensed Vocational Nurse 36 S Kinneloa Ave, Pasadena, CA 91107-3853 2019-12-27
1184272106 Bridgette Tsekani Frazier Counselor 36 S Kinneloa Ave, Pasadena, CA 91107-3853 2019-09-03
1801443585 Evelyn De La Cruz Student in an Organized Health Care Education/Training Program 36 S Kinneloa Ave, Pasadena, CA 91107-3853 2019-08-19
1205482510 Izabella Bagdasarian Counselor 36 S Kinneloa Ave, Pasadena, CA 91107-3853 2019-08-13
1205493806 Cedric Jones Sr. Counselor 36 S Kinneloa Ave, Pasadena, CA 91107-3853 2019-05-20
1902462013 Laura Manning Counselor 36 S Kinneloa Ave, Pasadena, CA 91107-3853 2019-05-14
1053884908 Charmaine Hurst Counselor 36 S Kinneloa Ave, Pasadena, CA 91107-3853 2019-01-03
1457840373 Victor Treatment Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 36 S Kinneloa Ave, Pasadena, CA 91107-3853 2018-05-07
1295237907 Ashley Ayanna Wilson Rehabilitation Practitioner 36 S Kinneloa Ave, Pasadena, CA 91107-3853 2018-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801412002 Kwasi Nkansa Physical Medicine & Rehabilitation 2585 East Washington Blvd, Pasadena, CA 91107 2020-06-23
1609402742 H & S Hospice Care Inc Hospice Care, Community Based 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 2020-03-20
1013557115 Cindy Phun Pharmacist 3383 E Foothill Blvd, Pasadena, CA 91107 2020-01-07
1184185548 Preferred Home Health Services Home Health 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 2019-03-28
1861973729 Julia E Underwood Doula 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 2018-08-28
1982183166 Melissa Castillo Counselor 26 S Kinneloa Ave, Pasadena, CA 91107 2018-08-09
1083109904 Lourice Boutros Optometrist 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 2018-06-22
1902313026 Cecily Brogdon Marriage & Family Therapist 2115 Lambert Drive, Pasadena, CA 91107 2018-01-10
1790204915 Vanessa Nicole Contreras Licensed Vocational Nurse 36 S. Kinneiloa Ave., Pasadena, CA 91107 2017-09-19
1730614397 Rita Mason Behavioral Analyst 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 2017-04-20
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Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417119413 Barbara Beboua Licensed Psychiatric Technician 1627 N Oxford Ave, Pasadena, CA 91104 2008-06-30
1487262846 Sharon Marie Sullivan Licensed Psychiatric Technician 100 W California Blvd, Pasadena, CA 91105-3010 2020-07-21
1568093706 Amanda Kathleen Pearson Licensed Psychiatric Technician 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 2020-01-27
1023652898 Taylor Nicole Hannon Licensed Psychiatric Technician 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 2019-11-04
1184266793 Esther Hicks Licensed Psychiatric Technician 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 2019-10-15
1598312605 Alena Luna Licensed Psychiatric Technician 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 2019-08-22
1164078564 Ginger Anne Brooks Licensed Psychiatric Technician 1450 N Lake Ave Ste 150, Pasadena, CA 91104-2388 2019-08-13
1083269252 Sean Jaret Luat Licensed Psychiatric Technician 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 2019-08-05
1396390720 Lauren Smith Licensed Psychiatric Technician 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 2019-08-02
1184187957 Emerson Sousa Licensed Psychiatric Technician 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 2019-04-09
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Competitor

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City PASADENA
Zip Code 91107

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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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