Randi Elisa Bienstock in South Pasadena - Intellectual And Developmental Disabilities
Randi Elisa Bienstock - NPI 1831394733
Randi Elisa Bienstock is a Intellectual And Developmental Disabilities in South Pasadena, California. Randi Elisa Bienstock practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Randi Elisa Bienstock is 1831394733. The last update date is 2007-07-08.
Randi Elisa Bienstock's current location address is 807 Prospect Ave, South Pasadena, California. You can contact this provider via phone number 3106593823. The mailing address for Randi Elisa Bienstock is 807 Prospect Ave, South Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randi Elisa Bienstock |
|---|---|
| Address | 807 Prospect Ave, South Pasadena, California |
| Phone Number | 3106593823 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1831394733 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 807 Prospect Ave |
|---|---|
| City | South Pasadena |
| State | California (CA) |
| Post Code | 910302457 |
| Phone Number | 3106593823 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intellectual And Developmental Disabilities |
|---|---|
| Taxonomy | 103Tm1800X |
| Licence No | PSY15925 |
|
Definition: A psychologist who works with people who have cognitive impairments and developmental disabilities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY159250 | CA | MEDI-CAL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Randi Elisa Bienstock?
The Randi Elisa Bienstock has been issued the NPI (National Provider Identifier) 1831394733 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Randi Elisa Bienstock's facilities are geographically located?
The facilities of Randi Elisa Bienstock are physically situated at the following location: 807 Prospect Ave, South Pasadena, CA, 910302457.
What is Randi Elisa Bienstock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randi Elisa Bienstock is Intellectual And Developmental Disabilities, and the taxonomy code that classifies this field of practice is 103Tm1800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831394733 to Randi Elisa Bienstock?
The Randi Elisa Bienstock received its 1831394733 assignment from the Centers for Medicare & Medicaid Services on 2007-06-19.
When was the Randi Elisa Bienstock's information last updated?
The Randi Elisa Bienstock's information was last updated on 2007-07-08.