HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES (NPI# 1699332304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699332304 |
| Entity Type | Organization |
| Organization Name | HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES |
| Other Organization Name | HSCFS- VISTA DEL VALLE ES |
| Practice Address |
12441 Bromont Ave San Fernando CA 91340-1306 |
| Mailing Address |
100 W Walnut St Ste 375 Pasadena CA 91124-0001 |
| Practice Telephone | 6263957100 |
| Practice Fax Number | 6263957270 |
| Mailing Telephone | 6263957100 |
| Mailing Fax Number | 6263957270 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | DEBBIE MANNERS (PRESIDENT AND CEO) |
| Authorized Official Telephone | 6263957100 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164X00000X | Licensed Vocational Nurse | Nursing Service Providers | ||
| N | 167G00000X | Licensed Psychiatric Technician | Nursing Service Providers | ||
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 374700000X | Technician | Nursing Service Related Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| HSCFS- Vista Del Valle ES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932731080 | Hathaway Sycamores Child and Family Services | Social Worker | 13241 Vaughn St., San Fernando, CA 91340-2237 | 2020-02-06 |
| 1770125445 | Hathaway Sycamores Child and Family Services | Psychologist | 509 W Norwood Pl, Alhambra, CA 91803-3217 | 2019-10-14 |
| 1528600483 | Hathaway Sycamores Child and Family Services | Technician | 820 N Avenue 54, Los Angeles, CA 90042-2428 | 2019-10-11 |
| 1124685821 | Hathaway Sycamores Child and Family Services | Psychologist | 12001 Art St, Sun Valley, CA 91352-2409 | 2019-05-29 |
| 1558928259 | Hathaway Sycamores Child and Family Services | Psychologist | 14600 Tyler St, Sylmar, CA 91342-2826 | 2019-05-29 |
| 1881251593 | Hathaway Sycamores Child and Family Services | Psychologist | 13330 Vaughn St, San Fernando, CA 91340-2216 | 2019-05-29 |
| 1164089876 | Hathaway Sycamores Child and Family Services | Psychologist | 7330 Bakman Ave, Sun Valley, CA 91352-4914 | 2019-05-29 |
| 1508423211 | Hathaway Sycamores Child and Family Services | Psychologist | 13050 Borden Ave, Sylmar, CA 91342-4251 | 2019-05-29 |
| 1215594916 | Hathaway Sycamores Child and Family Services | Licensed Psychiatric Technician | 8926 Sunland Blvd, Sun Valley, CA 91352-2843 | 2019-05-29 |
| 1649837345 | Hathaway Sycamores Child and Family Services | Psychologist | 10819 Plainview Ave, Tujunga, CA 91042-1633 | 2019-05-29 |
| Street Address |
12441 BROMONT AVE |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| Find all providers in zip 91340 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1700088564 | Rona Zamani | Counselor | 11565 Laurel Canyon Blvd Ste 114, San Fernando, CA 91340-4650 | 2007-06-04 |
| 1104426071 | Daisy Melendez | Counselor | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-10-29 |
| 1457981409 | Steven Enrique Valle | Counselor | 919 1st St, San Fernando, CA 91340-2957 | 2020-01-17 |
| 1043850944 | Viviana Hernandez | Counselor | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-01-09 |
| 1235656273 | Fatima I Flores | Counselor | 566 S Brand Blvd, San Fernando, CA 91340 | 2017-08-29 |
| 1336590900 | Yvette Yannelly Quevedo I | Counselor | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2016-06-24 |
| 1720452592 | Naryne Sahagian | Counselor | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2015-11-17 |
| 1902278203 | Jocelyn Tapia | Counselor | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2015-10-26 |
| 1033585021 | Jose Antonio Rodriguez | Counselor | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2015-08-13 |
| Find all providers in SAN FERNANDO | ||||
| City | SAN FERNANDO |
| Zip Code | 91340 |
Please comment or provide details below to improve the information on HATHAWAY SYCAMORES CHILD AND FAMILY SERVICES.
| 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.