Hathaway-Sycamores Child And Family Services
Rehabilitation Practitioner in South Pasadena, CA. Organization (NPI-2).
NPI number1124159801
StatusActive
Last updated in NPPESMar 31, 2023
Details
- NPI
- 1124159801
- Entity type
- Organization (NPI-2)
- Legal business name
- Hathaway-Sycamores Child And Family Services
- Organization subpart
- No
- Enumeration date
- Mar 7, 2007
- Certification date
- Jul 2, 2021
- Last updated
- Mar 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 163WP0808X | Registered Nurse, Psych/Mental Health | – | – | |
| 164X00000X | Licensed Vocational Nurse | – | – | |
| 167G00000X | Licensed Psychiatric Technician | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 174400000X | Specialist | – | – | |
| 175T00000X | Peer Specialist | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 208D00000X | General Practice | – | – | |
| 374700000X | Technician | – | – |
Other names
- Sycamores (Doing Business As)
Practice location
625 Fair Oaks Ave Ste 358South Pasadena, CA 91030-5812
Phone 626-395-7100
Mailing address
100 W Walnut St Ste 375Pasadena, CA 91124-0001
Authorized official
Debbie Manners
President, Ceo
6263957100
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