Terry Ann Bissell, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G61589 Issued in CA

Practice address

2400 Mission St
San Marino, CA 91108-1632

Phone

(626) 403-8999

Fax

(626) 403-8989

NPI assigned

Mar 1, 2007

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)

Enrolled

Credentials

Doctor of Medicine

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.

• San Marino Psychiatric Associates, Inc.

  • Psychiatry Physician
  • San Marino, CA
  • NPI 1063540938
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1053449934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MISSION ST",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081632",
            "telephone_number": "626-403-8999",
            "fax_number": "626-403-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MISSION ST",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081632",
            "telephone_number": "626-403-8999",
            "fax_number": "626-403-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSELL",
        "first_name": "TERRY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G61589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Badr Fadel Barsoum, DENTIST
• Catherine L Barth, PA-C
• Miriam Bermudez, MFT
• Bethesda Hospice, Inc
• BHC Alhambra Hospital, Inc.
• Lorna Blanco, M.D.
• Blockdare Inc
• Claudia Boles, LCSW
• Boyao Huang M.D. a Professional Corporation
• Jessica Burk

• Psychiatry Physician in San Marino, CA
• Providers in San Marino, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.