HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES (NPI# 1891337663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891337663 |
| Entity Type | Organization |
| Organization Name | HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES |
| Other Organization Name | HSCFS- ASSURANCE ES |
| Practice Address |
12502 Van Nuys Blvd Pacoima CA 91331-1321 |
| 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 | 2019-10-14 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | DEBBIE MANNERS (PRESIDENT AND CEO) |
| Authorized Official Telephone | 6269657100 |
| 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 | 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 | ||
| 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 | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| HSCFS- Assurance ES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841822574 | Hathaway-sycamores Child and Family Services | Psychologist | 11505 Herrick Ave, Pacoima, CA 91331 | 2020-02-11 |
| 1598397556 | Hathaway-sycamores Child and Family Services | Specialist | 11200 Herrick Ave, Pacoima, CA 91331-1921 | 2020-02-07 |
| 1457993313 | Hathaway-sycamores Child and Family Services | Psychologist | 1263 S Soto St, Los Angeles, CA 90023-2615 | 2019-10-11 |
| 1811539760 | Hathaway-sycamores Child and Family Services | Psychologist | 330 N California Ave, La Puente, CA 91744-3718 | 2019-10-11 |
| 1518163294 | Hathaway-sycamores Child and Family Services | Counselor | 11500 Eldridge Ave, Ste 204, Lake View Terrace, CA 91342-6523 | 2007-06-21 |
| 1245452960 | Hathaway-sycamores Child and Family Services | Counselor | 5100 S Eastern Ave, Ste. 110, Commerce, CA 90040-2938 | 2007-05-03 |
| 1124159801 | Hathaway-sycamores Child and Family Services | Counselor | 625 Fair Oaks Ave Ste 358, South Pasadena, CA 91030-5812 | 2007-03-07 |
| 1508301599 | Hathaway-sycamores Child and Family Services | Counselor | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2016-12-29 |
| 1659781623 | Hathaway-sycamores Child and Family Services | Community/Behavioral Health | 12510 Van Nuys Blvd, Pacoima, CA 91331-1338 | 2014-04-30 |
| 1386054575 | Hathaway-sycamores Child and Family Services | Community/Behavioral Health | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2014-04-28 |
| Street Address |
12502 VAN NUYS BLVD |
| City | PACOIMA |
| State | CA |
| Zip Code | 91331-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467511592 | Healthy Heart Medical Group Inc | Family Medicine | 12502 Van Nuys Blvd, 104, Pacoima, CA 91331 | 2006-12-06 |
| 1396997557 | J. V. Therapy Services Inc. | Clinic/Center | 12502 Van Nuys Blvd, 107, Pacoima, CA 91331-1321 | 2008-10-21 |
| 1346305422 | Albert Askarinam | Family Medicine | 12502 Van Nuys Blvd, 104, Pacoima, CA 91331-1321 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315956 | Kimberly Marie Tallas | Dental Assistant | 9745 Laurel Canyon, Pacoima, CA 91331 | 2020-08-05 |
| 1841822574 | Hathaway-sycamores Child and Family Services | Psychologist | 11505 Herrick Ave, Pacoima, CA 91331 | 2020-02-11 |
| 1649810995 | Amaris Care Inc | Home Health | 8953 Woodman Ave Ste 201, Arleta, CA 91331 | 2020-01-14 |
| 1801453758 | Hathaway Sycamores Child and Family Services | Psychologist | 13233 Eustace St., Pacoima, CA 91331 | 2019-05-28 |
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1467972364 | Msa Pharmaceutical Services Corporation | Pharmacy | 9720 Woodman Ave, Arleta, CA 91331 | 2017-06-21 |
| 1508213588 | Yari Meita Fanusie | Counselor | 11643 Glenoaks Blvd., Pacoima, CA 91331 | 2016-05-19 |
| 1972992915 | Ray Ayala | Counselor | 16643 Glenoaks Bl., Pacoima, CA 91331 | 2015-01-14 |
| 1538569249 | Ludivina Gutierrez | Occupational Therapist | 14061 Terra Bella Street, Arleta, CA 91331 | 2014-08-29 |
| 1043646557 | Umoh-chidi Daniel | Physical Therapist | 12418 Gain St., Pacoima, CA 91331 | 2013-09-17 |
| Find all providers in zip 91331 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769831 | Jauton Wagner | Counselor | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-10-27 |
| 1407405186 | Ian Karlsson | Counselor | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-09-05 |
| 1215402375 | Vanessa Chavez | Counselor | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2018-10-04 |
| 1093214959 | Wayne Smith | Counselor | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2018-02-06 |
| 1932566346 | Vanessa Garcia | Counselor | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331 | 2016-01-15 |
| 1699182360 | Tenisha Seniguar-morakinyo | Counselor | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2014-07-15 |
| 1356680730 | Maritza Conner | Counselor | 12450 Van Nuys Blvd, Suite 100, Pacoima, CA 91331-1391 | 2013-02-05 |
| 1407193220 | Roxana Velinda Alessio | Counselor | 12450 Van Nuys Blvd Ste 100, Pacoima, CA 91331-1392 | 2013-01-14 |
| 1477806842 | Ziesha Waters-carrico | Counselor | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331-1391 | 2012-10-22 |
| 1346598349 | Julia Ruelas | Counselor | 12450 Van Nuys Blvd Ste 100, Pacoima, CA 91331-1392 | 2012-08-22 |
| Find all providers in PACOIMA | ||||
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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.