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
1	103TC0700X	Clinical Psychologist
2	1041C0700X	Clinical Social Worker
3	106H00000X	Marriage & Family Therapist
4	163WP0808X	Psychiatric/Mental Health Registered Nurse
5	164X00000X	Licensed Vocational Nurse
6	167G00000X	Licensed Psychiatric Technician
7	172V00000X	Community Health Worker
8	174400000X	Specialist
9	175T00000X	Peer Specialist
10	2084P0800X	Psychiatry Physician
11	208D00000X	General Practice Physician
12	225400000X	Rehabilitation Practitioner
13	374700000X	Technician
14	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1164089876
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	:	626-395-7100
Fax Number	:	626-395-7270

Provider Business Practice Location Address
First Line	:	7330 BAKMAN AVE
Second Line	:
City	:	SUN VALLEY
State	:	CA
Zip	:	91352-4914
Country	:	US
Telephone Number	:	626-395-7100
Fax Number	:	626-395-7270

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	DEBBIE MANNERS
Credential	:	LCSW
Telephone Number	:	626-395-7100

Provider Enumeration Date	:	05/29/2019
Last Update Date	:	03/31/2023

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1437885068 — ANA HOME HEALTH INC
Practice Location Address:

5315 LAUREL CANYON BLVD STE 103
VALLEY VILLAGE, CA
91607-4914

Practice Phone: 747-588-2596
Practice Fax: 213-340-2376

1639154719 — DR. TADEO SINGSON LAZO DENTIST
Practice Location Address:

33 S MAIN ST
SPRING VALLEY, NY
10977-4914

Practice Phone: 845-356-0788
Practice Fax:

1225718877 — MR. WILSON G BRYANT III
Practice Location Address:

19196 PINE WAY
APPLE VALLEY, CA
92308-4914

Practice Phone: 760-490-7367
Practice Fax:

1285510750 — MELANIE ENJILI
Practice Location Address:

7934 CLEON AVE
SUN VALLEY, CA
91352-4604

Practice Phone: 818-821-9050
Practice Fax: 818-821-9050

1427990282 — ANTHONY MANUEL-CRUZ
Practice Location Address:

9160 TELFAIR AVE APT 2
SUN VALLEY, CA
91352-1951

Practice Phone: 747-250-6093
Practice Fax: 747-250-6093

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

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.