SAN MARINO PSYCHIATRIC HOSPITALISTS, INC NPI 1164811691

Psychiatric Hospital in San Marino, CA

NPI 1164811691 Organization Psychiatric Hospital

About SAN MARINO PSYCHIATRIC HOSPITALISTS, INC

San Marino Psychiatric Hospitalists, Inc is a provider established in San Marino, California specializing in psychiatric hospital. The NPI number of San Marino Psychiatric Hospitalists, Inc is 1164811691 and was assigned on January 2015. The practitioner's primary taxonomy code is 283Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Timothy J Pylko M.d. (President)

NPI

1164811691

Provider NameSAN MARINO PSYCHIATRIC HOSPITALISTS, INC
Provider Location Address2400 MISSION ST SAN MARINO, CA 91108
Provider Mailing Address2400 MISSION ST SAN MARINO, CA 91108
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-21-2015
Last Update Date01-21-2015


Primary Taxonomy

Taxonomy Code283Q00000X
ClassificationPsychiatric Hospital
TypeHospitals
Taxonomy DescriptionAn organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Business Address

SAN MARINO PSYCHIATRIC HOSPITALISTS, INC
2400 MISSION ST
SAN MARINO, CA
ZIP 91108
Phone: (626) 403-8999
Fax: (626) 403-8989

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Mailing Address

SAN MARINO PSYCHIATRIC HOSPITALISTS, INC
2400 MISSION ST
SAN MARINO, CA
ZIP 91108
Phone: (626) 403-8999
Fax: (626) 403-8989



Authorized Official

Authorized Official Name TIMOTHY J PYLKO M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(626) 403-8999

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417999418DR. BERRY L. MCCORD M.D.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1497833891DR. ROBERT TRUJILLO PH.D
Individual
Psychologist (Clinical)2400 MISSION ST 209
SAN MARINO, CA 91108
(626) 403-7400
1265507644DR. RYAN R COURDY M.D.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1760510531DR. FRANK V MINERO M.D.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1639207400 AURA-MARIE PAWLEY M.D.
Individual
Psychiatry & Neurology (Neurology)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1689702466 CAMILLE J FAGENSON L.C.S.W.
Individual
Social Worker (Clinical)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1013045897 KAREN O GATES L.C.S.W.
Individual
Social Worker (Clinical)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1871621672 KAREN I MINERO L.C.S.W.
Individual
Social Worker (Clinical)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1114055183MS. LINDA M HILL MFT
Individual
Marriage & Family Therapist2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1053449934DR. TERRY ANN BISSELL M.D.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1841328705DR. TIMOTHY J PYLKO M.D.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1730218264 DANIEL F DOYLE M.F.T.
Individual
Marriage & Family Therapist2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1073642500 MARY JOY WON L.C.S.W.
Individual
Social Worker (Clinical)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1689704561MRS. MEGAN SNYDER-GROSSMAN M.F.T.
Individual
Marriage & Family Therapist2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1932359445DR. WARREN RITCHIE CHRISTIANSON II D.O.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1174777908 SUSAN BREDHOFF
Individual
Marriage & Family Therapist2400 MISSION ST #105
SAN MARINO, CA 91108
(626) 792-9121
1831110071 DORA L WANG MD
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1821004458 CAROL ANNE MCCORMICK NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8989
1811025679DR. DANIEL THOMAS SUZUKI M.D.
Individual
Psychiatry & Neurology (Psychiatry)2400 MISSION ST
SAN MARINO, CA 91108
(626) 403-8999
1174987630BARBARA L. JANETZKE, PHD
Organization
Psychologist (Clinical)2400 MISSION ST
SAN MARINO, CA 91108
(626) 255-7512

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.