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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
2106H00000XMarriage & Family Therapist
3101YM0800XMental Health Counselor
4103TC0700XClinical Psychologist
5208D00000XGeneral Practice Physician
6374700000XTechnician
7163WP0808XPsychiatric/Mental Health Registered Nurse
8164X00000XLicensed Vocational Nurse
9167G00000XLicensed Psychiatric Technician
10171M00000XCase Manager/Care Coordinator
11172V00000XCommunity Health Worker
12174400000XSpecialist
13175T00000XPeer Specialist
142084P0800XPsychiatry Physician
15225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1871624544
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 :
Provider Business Practice Location Address
First Line : 12450 VAN NUYS BLVD STE 100
Second Line :
City : PACOIMA
State : CA
Zip : 91331-1392
Country : US
Telephone Number : 818-896-8366
Fax Number :
Authorized Official
Title or Position : EXECUTIVE V.P. OF PROGRAMS
Name : MS. DEBBIE MANNERS
Credential : LCSW
Telephone Number : 626-395-7100
Provider Enumeration Date : 03/07/2007
Last Update Date : 10/31/2023

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1023227279 — DR. ARTHUR F ROEMMELT MD
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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.

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