Active NPI
Jessica Haratounian
- Psychologist
- Pasadena, CA
National Provider Identifier
1003699893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 2500 E Foothill Blvd
Pasadena, CA 91107-3464 - Phone
- (626) 463-1021
- NPI assigned
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2500 E Foothill Blvd
Pasadena, CA 91107-3464
Mailing address
2550 E Foothill Blvd
Pasadena, CA 91107-3406
Phone (626) 463-1021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1003699893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 E FOOTHILL BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073406",
"telephone_number": "626-463-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E FOOTHILL BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073464",
"telephone_number": "626-463-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARATOUNIAN",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.