Gwennyth L Palafox, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20494 Issued in CA

Practice address

1001 S Marengo Ave
Pasadena, CA 91106-4207

Phone

(626) 795-4092

Fax

(626) 795-9505

NPI assigned

Oct 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palafox Psychological Corporation

  • Behavior Analyst
  • Pasadena, CA
  • NPI 1710236559
  NPD (past) Authorized official

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1033463153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911064207",
            "telephone_number": "626-795-4092",
            "fax_number": "626-795-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911064207",
            "telephone_number": "626-795-4092",
            "fax_number": "626-795-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAFOX",
        "first_name": "GWENNYTH",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Diane Palacios Pritchard, DMD
• Carlos Palacios
• Franco A Palacios
• Ja'Nean Marie Alyce Palacios
• Palafox Psychological Corporation
• Jonathan Yeh Palar, PHARMD
• Serafina Marianna Palazzolo, MS, CCC-SLP
• Shana Pallotta
• Allison Stephania Palma
• Kassandra Juliet Palmas, M.S., LMFT

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.