NPIMap

Hathaway-Sycamores Child and Family Services

Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Altadena, CA

NPI 1508301599 · NPPES record last updated Jan 29, 2024

Key facts

NPI
1508301599
Entity type
Organization (NPI type 2)
Primary specialty
Mental Illness Community Based Residential Treatment Facility 320800000X
Legal business name
HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES
Practice address
2933 El Nido Dr
Altadena, CA 91001-4529
Phone
(626) 243-9043
Fax
(626) 395-7270
NPI assigned
Dec 29, 2016
Organization subpart
No

Authorized official

Name
Ms. Debbie Manners, LCSW
Title
President, Ceo
Phone
(626) 395-7100

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Hathaway-Sycamores Child Family Services (67 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 101YM0800X
Clinical Psychologist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 103TC0700X
Clinical Social Worker
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 1041C0700X
Marriage & Family Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 106H00000X
Psychiatric/Mental Health Registered Nurse
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 163WP0808X
Licensed Vocational Nurse
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 164X00000X
Licensed Psychiatric Technician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 167G00000X
Specialist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 174400000X
Psychiatry Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2084P0800X
General Practice Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 208D00000X
Rehabilitation Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 225400000X
Mental Illness Community Based Residential Treatment Facility 320800000X Yes
Technician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 374700000X

Addresses

Primary practice location

2933 El Nido Dr
Altadena, CA 91001-4529

Mailing address

840 N Avenue 66
Los Angeles, CA 90042-1508
Phone (626) 395-7100

Other names

  • Sycamores Doing business as
  • Sycamores-STRTP North Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 29, 2024.

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1508301599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N AVENUE 66",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421508",
            "telephone_number": "626-395-7100",
            "fax_number": "626-395-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 EL NIDO DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014529",
            "telephone_number": "626-243-9043",
            "fax_number": "626-395-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "MANNERS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "626-395-7100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "167G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Psychiatric Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamores",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sycamores",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sycamores-STRTP North",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altadena, CA

All providers in Altadena, CA · Mental Illness Community Based Residential Treatment Facility in California

Sources for this page

Verify at the official NPI Registry.