HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES NPI 1104048826

NPI Information

NPI: 1104048826
Provider Name: HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES

Doing Business As: SYCAMORES

Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
1411 N GRAND AVE
STE. 100
COVINA, CA
ZIP 91724
Phone: (626) 395-7100
Get Directions

HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES is a rehabilitation practitioner in Covina, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES NPI is 1104048826. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sycamores.

The provider's business location address is:

1411 N GRAND AVE
STE. 100
COVINA, CA
ZIP 91724-001
Phone: (626) 395-7100

The provider's authorized official is Debbie Manners .
The authorized official title is President And Ceo and has the following contact phone number (626) 395-7100.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 12/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	103TC0700X	Psychologist	Clinical	No
3	1041C0700X	Social Worker	Clinical	No
4	106H00000X	Marriage & Family Therapist		No
5	163WP0808X	Registered Nurse	Psychiatric/Mental Health	No
6	164X00000X	Licensed Vocational Nurse		No
7	167G00000X	Licensed Psychiatric Technician		No
8	174400000X	Specialist		No
9	2084P0800X	Psychiatry & Neurology	Psychiatry	No
10	208D00000X	General Practice		No
11	225400000X	Rehabilitation Practitioner		Yes
12	374700000X	Technician		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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