PENNY LANE (NPI# 1699906198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699906198 |
| Entity Type | Organization |
| Organization Name | PENNY LANE |
| Practice Address |
190 Sierra Ct Palmdale CA 93550-7607 |
| Practice Telephone | 6612724883 |
| Practice Fax Number | 6612721005 |
| Mailing Telephone | 6612724883 |
| Mailing Fax Number | 6612721005 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |
| Authorized Official Name | MARCUS MARQUIS NELSON (CFS) |
| Authorized Official Telephone | 6612724883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093010084 | Penny Lane | Community/Behavioral Health | 37151 101st St E, Littlerock, CA 93543-2032 | 2011-01-21 |
| 1821419391 | Penny Lane | Case Management | 43520 Division St, Lancaster, CA 93535-4089 | 2013-12-30 |
| 1558664631 | Penny Lane | Community/Behavioral Health | 2450 S Atlantic Blvd, Suite # 101, Commerce, CA 90040-1200 | 2010-12-13 |
| 1497078471 | Penny Lane | Rehabilitation Practitioner | 43520 Division St, Lancaster, CA 93535-4089 | 2010-03-05 |
| 1043491756 | Penny Lane | Community/Behavioral Health | 2450 S Atlantic Blvd Ste 101, Commerce, CA 90040-1200 | 2007-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Penny Lane 55, LLC | 5714 Campina Way, Parker, CO 80134 |
| Oregon Corporations, Companies and Business Names | PENNY LANE AMUSEMENTS, INC. | 72662 Marina Lane, Joseph, OR 97846 |
| Oregon Corporations, Companies and Business Names | PENNY LANE ASSETS, LLC | 1146 Ne 174th Ave, Portland, OR 97230 |
| Connecticut Business Registrations | Penny Lane Associates, LLC | 60 Penny Lane, Woodbridge, CT 06525 |
| Vermont Business Registrations | PENNY LANE AT WATERBURY, INC. | 12 Aldinger Drive, Jericho, VT 05465 |
| Oregon Corporations, Companies and Business Names | PENNY LANE BOUTIQUE | 1349 Redwood Ave, Grants Pass, OR 97526 |
| Colorado Business Entities | Penny Lane Boxes, LLC | 914 S. Weber St., Colorado Springs, CO 80903 |
| New York State Corporations | PENNY LANE CAPITAL, LLC | 333 E. 45th Street, Apt. 31e, New York, Ny 10017 |
| Washington State Corporations | PENNY LANE COMPANY LLC | 2122 164th St Sw #300, Lynnwood, WA 98087-7812 |
| Massachusetts Corporations | PENNY LANE CONSIGNMENT LLC | 331 Cotuit Rd, Sandwich, MA 02563, US |
| Street Address |
190 SIERRA CT |
| City | PALMDALE |
| State | CA |
| Zip Code | 93550-7607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811996515 | Sandra Denniese Stovall-wilson | Licensed Vocational Nurse | 190 Sierra Ct, Suite B=217, Palmdale, CA 93550-7607 | 2005-07-15 |
| 1790293926 | Alyssa Dawn Morford | Speech-Language Pathologist | 190 Sierra Ct, Palmdale, CA 93550-7607 | 2018-01-23 |
| 1366975245 | Connexus Therapy Services | Marriage & Family Therapist | 190 Sierra Ct, Suite B-112, Palmdale, CA 93550-7607 | 2017-04-06 |
| 1669857223 | Patricia A Emerson | Marriage & Family Therapist | 190 Sierra Ct, #c4, Palmdale, CA 93550-7607 | 2015-07-24 |
| 1891036067 | Craig Aaron Cincis | Marriage & Family Therapist | 190 Sierra Ct, Bldg B11, Suite 112, Palmdale, CA 93550-4089 | 2013-03-12 |
| 1235469883 | Laura Islas Ortez | Case Manager/Care Coordinator | 190 Sierra Ct, Palmdale, CA 93550-7607 | 2010-01-04 |
| 1801030069 | Sarah Boyd Nosker | Marriage & Family Therapist | 190 Sierra Ct, Unit C-8, Palmdale, CA 93550-7607 | 2009-04-30 |
| 1073751061 | Angela Armitage | Case Manager/Care Coordinator | 190 Sierra Ct, Suite B-2, Palmdale, CA 93550-7607 | 2009-01-28 |
| 1750536751 | Penny Lane Center | Case Management | 190 Sierra Ct, Palmdale, CA 93550-7607 | 2008-11-19 |
| 1508021916 | Yolanda Gorick | Marriage & Family Therapist | 190 Sierra Ct, C-8, Palmdale, CA 93550-7607 | 2008-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612118 | Well Care Hospice Inc | Hospice Care, Community Based | 1543j East Palmdale Blvd., Palmdale, CA 93550 | 2020-09-03 |
| 1922565522 | California Recuperative Care, Inc | Social Worker | 38529 6th St. East, Palmdale, CA 93550 | 2019-03-01 |
| 1649751777 | Earl Larry Hernandez | Rehabilitation Practitioner | 1609 East Palmdale Blvd Suite G, Palmdale, CA 93550 | 2018-08-27 |
| 1265940050 | Virginia Alvarez | Counselor | 3058 East Aver14, Palmdale, CA 93550 | 2018-01-16 |
| 1225553498 | Natalie Christine Ragus | Social Worker | 1529 E. Palmdale Blvd. Ste 150, Palmdale, CA 93550 | 2017-08-09 |
| 1104348770 | Purificacion Paguyo Villegas | Registered Nurse | 38350 40th St East, 2nd Floor, Palmdale, CA 93550 | 2017-07-14 |
| 1528580438 | Perla Marilyn Rodriguez | Registered Nurse | 38350 40th St East, Palmdale, CA 93550 | 2017-07-12 |
| 1992259527 | Nathalie Exconde | Counselor | 1529 East Palmdale Blvd Suite 150, Palmdale, CA 93550 | 2016-08-11 |
| 1083064604 | Sinead Diaz | Community Health Worker | 2323a East Palmdale Boulvard, Palmdale, CA 93550 | 2016-06-14 |
| 1598122293 | Sharnelle Denise Patterson | Rehabilitation Practitioner | 2010 Moonflower Ct, Palmdale, CA 93550 | 2016-01-26 |
| Find all providers in zip 93550 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780178756 | Mckinley Children's Center | Community/Behavioral Health | 2231 E Palmdale Blvd, Palmdale, CA 93550-1326 | 2018-06-21 |
| 1942662234 | Stephanie Coleman Coffey | Community/Behavioral Health | 38722 11th St E, Apt. 73, Palmdale, CA 93550-2861 | 2016-03-24 |
| 1063825784 | Child and Family Guidance Center | Community/Behavioral Health | 37015 Goldenview Way, Palmdale, CA 93552-5348 | 2014-06-10 |
| 1376980557 | Rena Nicole Joyner | Community/Behavioral Health | 1240 E Avenue S, 151, Palmdale, CA 93550-6169 | 2013-05-29 |
| 1164771325 | Los Angeles Department of Mental Health | Community/Behavioral Health | 2323a East Palmdale Blvd., Palmdale, CA 93550 | 2012-09-04 |
| 1851554505 | Healthy Family Solutions | Community/Behavioral Health | 943 E Palmdale Blvd, Suite B, Palmdale, CA 93550-4711 | 2008-07-02 |
| 1063688067 | Atlantic Recovery Services | Community/Behavioral Health | 2137 E Avenue R, Palmdale, CA 93550-5415 | 2008-04-30 |
| 1346411402 | Atlantic Recovery Services | Community/Behavioral Health | 39150 10th St W, Palmdale, CA 93551-3755 | 2008-03-17 |
| 1942326871 | Mental Health America of Los Angeles | Community/Behavioral Health | 1609 E Palmdale Blvd Ste G, Palmdale, CA 93550-4881 | 2007-03-22 |
| 1871622498 | Optimist Boys' Home and Ranch, Inc. | Community/Behavioral Health | 520 W Palmdale Blvd Ste Def&g, Palmdale, CA 93551-4229 | 2007-03-02 |
| Find all providers in PALMDALE | ||||
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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.