Individual provider Active NPI

Andrea Canales

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1063857738
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY34940 Issued in CA
Practice address
130 S Euclid Ave Ste 2
Pasadena, CA 91101-2471
Phone
(626) 263-7528
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CA
Rehabilitation Counselor 225C00000X
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY34940 CA Primary

Addresses

Primary practice location

130 S Euclid Ave Ste 2
Pasadena, CA 91101-2471

Mailing address

130 S Euclid Ave Ste 2
Pasadena, CA 91101-2471
Phone (626) 263-7528

Other practice location 1

902 S Myrtle Ave
Monrovia, CA 91016-3427
Phone (626) 357-3258

Other practice location 2

6851 Lennox Ave Ste 100
Van Nuys, CA 91405
Phone (818) 739-5400

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

State licenses

LicenseStateTypeSpecialty
PSY34940CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brett Veltman, Psy.D., a Clinical Psychology Corporation Clinical CurrentSince Nov 18, 2025 Accepting new patients

Locations

130 S Euclid Ave
Ste 2
Pasadena, CA 91101
Phone (626) 263-7528

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1063857738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S EUCLID AVE STE 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012471",
            "telephone_number": "626-263-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S EUCLID AVE STE 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012471",
            "telephone_number": "626-263-7528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 S Myrtle Ave",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910163427",
            "country_code": "US",
            "telephone_number": "626-357-3258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6851 Lennox Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "91405",
            "country_code": "US",
            "telephone_number": "818-739-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANALES",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34940",
            "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 Nov 17, 2025; 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.