Organization Active NPI

Pasadena Integrative Psychiatry

  • Psychiatry Physician
  • La Crescenta, CA
National Provider Identifier
1003523499
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PASADENA INTEGRATIVE PSYCHIATRY
Practice address
2835 Sanborn Ave
La Crescenta, CA 91214-2816
Phone
(518) 366-8276
NPI assigned
Nov 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Dr. Jasbir Kaur Virk, MD, MPHNPI 1750526604
Title
Owner
Phone
(518) 366-8276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2835 Sanborn Ave
La Crescenta, CA 91214-2816

Mailing address

2835 Sanborn Ave
La Crescenta, CA 91214-2816
Phone (518) 366-8276

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1003523499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 SANBORN AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142816",
            "telephone_number": "518-366-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SANBORN AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142816",
            "telephone_number": "518-366-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA INTEGRATIVE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "VIRK",
        "authorized_official_first_name": "JASBIR",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-366-8276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.