DR. KATHERINE MICHELLE REVOREDO (NPI# 1710291158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710291158 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE MICHELLE REVOREDO |
| Credential | M.D. |
| Practice Address |
200 E Del Mar Blvd Ste 200 Pasadena CA 91105-2552 |
| Practice Telephone | 6267233099 |
| Practice Fax Number | 6267233091 |
| Mailing Telephone | 6267233099 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2015-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A112675 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
200 E DEL MAR BLVD STE 200 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740471325 | Elizabeth Jane Ledbetter | Psychologist | 200 E Del Mar Blvd Ste 200, Pasadena, CA 91105-2552 | 2007-08-07 |
| 1558890996 | Aurelia Ricketts | Registered Nurse | 200 E Del Mar Blvd Ste 200, Pasadena, CA 91105-2552 | 2017-06-08 |
| 1760656920 | Louisa Lumin Sun | Acupuncturist | 200 E Del Mar Blvd Ste 200, Pasadena, CA 91105-2552 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1023401122 | Ara Gregory Barkev Darakjian | Psychiatry & Neurology | 236 W Mountain St # 109-e, Pasadena, CA 91103 | 2015-03-12 |
| 1104261270 | Kristina Eipl | Psychiatry & Neurology | 69 N Catalina Ave, Pasadena, CA 91106 | 2013-05-02 |
| 1154663177 | Howard I Wilson | Psychiatry & Neurology | 2935 Larmona Dr, Pasadena, CA 91107-1125 | 2013-03-18 |
| 1669743464 | John D. F. Tarr M.d., Ph.d., Inc | Psychiatry & Neurology | 280 South Arroyo Boulevard, Pasadena, CA 91105-1507 | 2012-01-25 |
| 1053688689 | Michael Carl Storrie-lombardi | Psychiatry & Neurology | 798 N Mar Vista Ave, Pasadena, CA 91104-4617 | 2011-11-28 |
| 1770714735 | Warren R Procci | Psychiatry & Neurology | 230 S San Rafael Ave, Pasadena, CA 91105-1525 | 2009-08-06 |
| 1598960130 | Foos Psychiatric Medical Group Inc | Psychiatry & Neurology | 2810 East Del Mar Blvd, Suite 11b, Pasadena, CA 91107 | 2007-06-15 |
| 1194842625 | Rogelio Leonardo Whyte | Psychiatry & Neurology | 595 East Colorado Blvd, Suite 507, Pasadena, CA 91101-2039 | 2007-03-22 |
| 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.