Active NPI
Carrie Horn
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1104093921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 26201
- Practice address
- 446 So. Marengo Ave
Pasadena, CA 91101 - Phone
- (626) 321-7554
- Fax
- (626) 228-2189
- NPI assigned
- May 12, 2008
- Last updated
- Feb 6, 2014
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 26201 | CA | Primary |
Addresses
Primary practice location
446 So. Marengo Ave
Pasadena, CA 91101
Mailing address
446 S Marengo Ave
Pasadena, CA 91101-3113
Phone (626) 321-7554
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 26201 | CA | MD | Clinical Psychologist |
| 26201 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Psychotherapy Corporation | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- South Pasadena, CA
- NPI 1487078820
-
- Clinical Psychologist
- Sherman Oaks, CA
- NPI 1225563752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1104093921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 S MARENGO AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013113",
"telephone_number": "626-321-7554",
"fax_number": "626-228-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 SO. MARENGO AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "91101",
"telephone_number": "626-321-7554",
"fax_number": "626-228-2189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "CARRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 26201",
"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 Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.