LISAH NICHOLE BENNETT (NPI# 1952431793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952431793 |
| Entity Type | Individual |
| Full Name | LISAH NICHOLE BENNETT |
| Credential | MS MFT |
| Practice Address |
625 S. Fair Oaks Blvd #300 South Pasadena CA 91030 |
| Mailing Address |
625 S. Fair Oaks Ave. Ste. 300 S. Pasadena CA 91030 |
| Practice Telephone | 6268312509 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | IMF 46200 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
625 S. FAIR OAKS BLVD #300 |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1790913259 | Lisa Marie Pileggi Almonte | Rehabilitation Practitioner | 1306 Fremont Ave, South Pasadena, CA 91030-3842 | 2009-06-23 |
| 1659562304 | Mary Lewis | Rehabilitation Practitioner | 625 Fair Oaks Ave Ste 110, South Pasadena, CA 91030-2630 | 2007-08-07 |
| 1255455952 | Harumi T. Vinson | Rehabilitation Practitioner | 625 Fair Oaks Avenue, Sutie 300, South Pasadena, CA 91030 | 2007-03-19 |
| 1467582205 | Lisa Louise Rosenthal | Rehabilitation Practitioner | 625 S. Fair Oaks Ave., 300, South Pasadena, CA 91030-5805 | 2007-03-07 |
| 1336426220 | Fernando Serrano | Rehabilitation Practitioner | 625 Fair Oaks Ave, Ste 300, South Pasadena, CA 91030-2630 | 2011-11-07 |
| 1497030456 | Dawna A Bilow | Rehabilitation Practitioner | 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030-5805 | 2011-10-20 |
| 1942582309 | Sergio Barrena | Rehabilitation Practitioner | 625 Fair Oaks Ave, 300, South Pasadena, CA 91030-2630 | 2011-09-12 |
| 1265711790 | Christina Louie Pon | Rehabilitation Practitioner | 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030-5805 | 2011-08-15 |
| 1609163054 | Steven Anthony Sneed | Rehabilitation Practitioner | 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030-5805 | 2011-07-06 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
Please comment or provide details below to improve the information on LISAH NICHOLE BENNETT.
| 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.