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NPI Code Detail

MEDICARE: HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES

MEDICARE: HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2374700000XTechnician
3225400000XRehabilitation Practitioner
4167G00000XLicensed Psychiatric Technician
5175T00000XPeer Specialist
6163WP0808XPsychiatric/Mental Health Registered Nurse
72084P0800XPsychiatry Physician
8208D00000XGeneral Practice Physician
9101YM0800XMental Health Counselor
10174400000XSpecialist
11172V00000XCommunity Health Worker
12164X00000XLicensed Vocational Nurse
13103TC0700XClinical Psychologist
14106H00000XMarriage & Family Therapist
15320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1548482268
Entity Type Code : Organization
Provider Name (Legal Business Name) : HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES
Provider Business Mailing Address
First Line : 840 N AVENUE 66
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-1508
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2933 N. EL NIDO DRIVE
Second Line :
City : ALTADENA
State : CA
Zip : 91001-4529
Country : US
Telephone Number : 626-395-7100
Fax Number :
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : DEBBIE MANNERS
Credential :
Telephone Number : 626-395-7100
Provider Enumeration Date : 05/03/2007
Last Update Date : 05/20/2026

Similar Medicare Providers

1821124942 — ALLAN A MCDONALD M.D.
Practice Location Address:
2933 EL NIDO DR
ALTADENA, CA
91001-4529
Practice Phone: 626-644-0442
Practice Fax: 626-441-0072
1659400117 — MR. DANIEL ABDIAS VALLECILLO B.A.
Practice Location Address:
2933 EL NIDO DR
ALTADENA, CA
91001-4529
Practice Phone: 626-395-7100
Practice Fax:
1851420509 — MS. JULIE ANN FARINO L.P.T.
Practice Location Address:
2933 EL NIDO DR
ALTADENA, CA
91001-4529
Practice Phone: 626-395-7100
Practice Fax: 626-798-2863
1841320165 — MS. FRANCIS GRIMALDA ORTEGA
Practice Location Address:
2933 EL NIDO DR
ALTADENA, CA
91001-4529
Practice Phone: 626-395-7100
Practice Fax: 626-798-4531
1013047331 — MR. JOSEPH GONZALEZ SANTOYO
Practice Location Address:
2933 EL NIDO DR
ALTADENA, CA
91001-4529
Practice Phone: 626-395-7100
Practice Fax: 626-798-4531
1528198843 — MISS SHANTELLE MARIE WESTBROOK
Practice Location Address:
2933 EL NIDO DR
ALTADENA, CA
91001-4529
Practice Phone: 626-395-7100
Practice Fax: 626-798-4531

Directions to “HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES ” Practice Location

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