Hathaway-Sycamores Child And Family Services
Community Based Residential Treatment Facility, Mental Illness in Altadena, CA. Organization (NPI-2).
NPI number1508301599
StatusActive
Last updated in NPPESJan 29, 2024
Details
- NPI
- 1508301599
- Entity type
- Organization (NPI-2)
- Legal business name
- Hathaway-Sycamores Child And Family Services
- Organization subpart
- No
- Enumeration date
- Dec 29, 2016
- Certification date
- Jan 29, 2024
- Last updated
- Jan 29, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | 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 | – | – | |
| 174400000X | Specialist | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 208D00000X | General Practice | – | – | |
| 225400000X | Rehabilitation Practitioner | – | – | |
| 374700000X | Technician | – | – |
Other names
- Sycamores-Strtp North (Other Name)
- Sycamores (Doing Business As)
Practice location
2933 El Nido DrAltadena, CA 91001-4529
Phone 626-243-9043 · Fax 626-395-7270
Mailing address
840 N Avenue 66Los Angeles, CA 90042-1508
Phone 626-395-7100 · Fax 626-395-7270
Authorized official
Debbie Manners
President, Ceo
6263957100
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