Individual provider Active NPI

Connor Brian McClenahan

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1114200987
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30369 Issued in CA
Practice address
595 E Colorado Blvd Ste 629
Pasadena, CA 91101-5222
Phone
(323) 209-5504
NPI assigned
Sep 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY30369 CA Primary

Addresses

Primary practice location

595 E Colorado Blvd Ste 629
Pasadena, CA 91101-5222

Mailing address

595 E Colorado Blvd Ste 629
Pasadena, CA 91101-5222
Phone (323) 209-5504

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
PSY30369CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
McClenahan Psychological Services, PC Clinical Current Accepting new patients

Locations

520 S Grand Ave
Ste 671
Los Angeles, CA 90071
Phone (323) 347-4890

595 E Colorado Blvd
Ste 629
Pasadena, CA 91101
Phone (323) 209-5504

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": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1114200987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 629",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015222",
            "telephone_number": "323-209-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 629",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015222",
            "telephone_number": "323-209-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENAHAN",
        "first_name": "CONNOR",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30369",
            "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 Mar 9, 2026; 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.