Active NPI
Bruce Hirsch, PH.D.
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1104805852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY7729
- Practice address
- 130 S Euclid Ave
Suite 1
Pasadena, CA 91101-2446 - Phone
- (626) 395-7833
- Fax
- (626) 395-7401
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PSY7729 | CA | Primary |
Addresses
Primary practice location
130 S Euclid Ave
Suite 1
Pasadena, CA 91101-2446
Mailing address
130 S Euclid Ave
Suite 1
Pasadena, CA 91101-2446
Phone (626) 395-7833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2014 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1104805852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S EUCLID AVE",
"address_2": "SUITE 1",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012446",
"telephone_number": "626-395-7833",
"fax_number": "626-395-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S EUCLID AVE",
"address_2": "SUITE 1",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012446",
"telephone_number": "626-395-7833",
"fax_number": "626-395-7401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSCH",
"first_name": "BRUCE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY7729",
"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 Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.