Patricia Maxine Elder

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT 27461 Issued in CA

Practice address

1020 S Arroyo Pkwy
2ND Floor
Pasadena, CA 91105-3911

Phone

(626) 403-2794

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Pat Elder Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902017247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 LANDIS AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917061624",
            "telephone_number": "626-922-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S ARROYO PKWY",
            "address_2": "2ND FLOOR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053911",
            "telephone_number": "626-403-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "PATRICIA",
        "middle_name": "MAXINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT 27461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAT",
            "last_name": "ELDER",
            "credential": "LPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ekaete Ekpo, LMFT
• Laila Sophia El Hajoui
• Mohamed El-Gabalawy, MD
• Alia Elasmar
• Joy Eldeiry, M.A.
• Eleanor Leung M.D. a Professional Corporation
• Elevated Physical Therapy
• Miriam Elewy, L.AC.
• Matthew Elgart, PH.D
• Mazin Elhadary, MD

• Licensed Psychiatric Technician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.