Provider Demographics
| NPI: | 1518036771 |
|---|---|
| Name: | PASADENA INDEPENDENT SCHOOL DISTRIC |
| Entity type: | Organization |
| Organization Name: | PASADENA INDEPENDENT SCHOOL DISTRIC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | BUSSINESS FINANCE |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | JOHN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | PISCACEK |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | ASSOCIATE SUPERINTEN |
| Authorized Official - Phone: | 713-740-0023 |
| Mailing Address - Street 1: | 1515 CHERRYBROOK LN |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PASADENA |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77502-4048 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 713-740-0023 |
| Mailing Address - Fax: | 713-740-4008 |
| Practice Address - Street 1: | 1515 CHERRYBROOK LN |
| Practice Address - Street 2: | |
| Practice Address - City: | PASADENA |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 77502-4048 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 713-740-0023 |
| Practice Address - Fax: | 713-740-4008 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-11-06 |
| Last Update Date: | 2025-09-11 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| 101YS0200X, 224Z00000X, 225100000X, 225200000X, 2355S0801X, 235Z00000X, 3747A0650X, 3747P1801X, 225X00000X, 103T00000X, 347B00000X | ||
| DIAGNOSTICIAN | 174400000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 347B00000X | Transportation Services | Bus | Group - Multi-Specialty | |
| No | 101YS0200X | Behavioral Health & Social Service Providers | Counselor | School | Group - Multi-Specialty |
| No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
| No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 3747A0650X | Nursing Service Related Providers | Technician | Attendant Care Provider | Group - Multi-Specialty |
| No | 3747P1801X | Nursing Service Related Providers | Technician | Personal Care Attendant | Group - Multi-Specialty |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 174400000X | Other Service Providers | Specialist | Group - Multi-Specialty |