Active NPI
Jason Hatakeyama
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1770669244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW84528
- Practice address
- 532 E Colorado Blvd
Pasadena, CA 91101-2044 - Phone
- (626) 229-3869
- NPI assigned
- Oct 27, 2006
- Last updated
- Dec 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW 30811 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW84528 | CA | Primary |
Addresses
Primary practice location
532 E Colorado Blvd
Pasadena, CA 91101-2044
Mailing address
532 E Colorado Blvd
Pasadena, CA 91101-2044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 30811 | CA | MD | Mental Health Counselor |
| LCSW84528 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1770669244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 E COLORADO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 E COLORADO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012044",
"telephone_number": "626-229-3869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATAKEYAMA",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW 30811",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW84528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
- Michelle Harwell, MSMFT
- Ashley Loren Hasbach
- Lani Marie Hashimoto-Raju, FNP-C
- Joan Margaret Hasibar
- Mark Hastings
- Sage Maile Hatch
- Hath Holistic Approaches to Health an Acupuncture Corporation
- Hathaway Sycamores Child and Family Services (Sycamores)
- Hathaway Sycamores Child and Family Services (Sycamores)
- Hathaway Sycamores Child and Family Services (Sycamores)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.