NPIMap

Organization Active NPI

Hathaway-Sycamores Child and Family Services

Doing business as Sycamores

  • Mental Health Counselor
  • Pacoima, CA
National Provider Identifier
1841822574
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES
Doing business as
Sycamores
Practice address
11505 Herrick Ave
Pacoima, CA 91331-1807
Phone
(626) 395-7100
NPI assigned
Feb 11, 2020
Last updated
Mar 31, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HATHAWAY-SYCAMORES CHILD & FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU
Technician 374700000X NU
Psychiatric/Mental Health Registered Nurse 163WP0808X NU
Licensed Vocational Nurse 164X00000X NU
Specialist 174400000X NU
Psychiatry Physician 2084P0800X NU
General Practice Physician 208D00000X NU
Rehabilitation Practitioner 225400000X NU
Community Health Worker 172V00000X NU
Peer Specialist 175T00000X NU

Addresses

Primary practice location

11505 Herrick Ave
Pacoima, CA 91331-1807

Mailing address

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

Other names 2

  • Sycamores Doing business as
  • HSCFS- Vaughn VISA Other name

National Provider Directory

National Provider Directory
Tax ID family
Hathaway-Sycamores Child66 organizations share this tax ID, including this one
Part of
Hathaway-Sycamores Child

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Locations

11505 Herrick Ave
Pacoima, CA 91331
Phone (818) 896-7461

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1841822574",
    "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": "11505 HERRICK AVE",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311807",
            "telephone_number": "626-395-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HATHAWAY-SYCAMORES CHILD & FAMILY SERVICES",
        "enumeration_date": "2020-02-11",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "MANNERS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "626-395-7100",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamores",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HSCFS- Vaughn VISA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pacoima, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.