MRS. SHIRLEY ANN BENNETT (NPI# 1710178819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710178819 |
| Entity Type | Individual |
| Full Name | MRS. SHIRLEY ANN BENNETT |
| Credential | R.A.S. |
| Practice Address |
1811 N Raymond Ave Pasadena CA 91103-1840 |
| Practice Telephone | 6263459992 |
| Practice Fax Number | 6263459995 |
| Mailing Telephone | 6263459992 |
| Mailing Fax Number | 6263459995 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235115148 | Shirley Bennett | Obstetrics & Gynecology | 7255 Old Oak Blvd, #c-202, Cleveland, OH 44130-3329 | 2005-12-22 |
| Street Address |
1811 N RAYMOND AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91103-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689755 | Pasadena Villa, Inc | Assisted Living Facility | 1811 N Raymond Ave, Pasadena, CA 91103-1840 | 2020-11-05 |
| 1063608578 | Dalton Gudelmann | Counselor | 1811 N Raymond Ave, Pasadena, CA 91103-1840 | 2007-09-18 |
| 1639365141 | Robert Warren Burns Jr. | Counselor | 1811 N Raymond Ave, Pasadena, CA 91103-1840 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
| 1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
| Find all providers in zip 91103 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975593 | Robbie Davis | Counselor | 1710 Strawberry Rd Ste 300, Pasadena, TX 77502-2649 | 2020-02-26 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1689144271 | Cathy Haigis | Counselor | 2528 Mountain Rd.7204, Pasadena, MD 21122-7204 | 2018-11-27 |
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1013415215 | Dedicato Treatment Center Inc | Counselor | 133 N Altadena Dr Ste 430, Pasadena, CA 91107-7344 | 2018-01-23 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922528769 | Calvin Hayes | Counselor | 135 W Washington Blvd, Pasadena, CA 91103-2563 | 2017-06-22 |
| 1518406545 | Kevin Cross | Counselor | 25 El Nido Ave Apt 5, Pasadena, CA 91107-4448 | 2017-02-23 |
| 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.