Active NPI
Dr Elizabeth Shon, Psychological Services Inc.
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1154647345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY11520
- Legal business name
- DR ELIZABETH SHON, PSYCHOLOGICAL SERVICES INC.
- Practice address
- 745 S Marengo Ave
Suite 105
Pasadena, CA 91106-4735 - Phone
- (626) 793-0858
- Fax
- (323) 256-8203
- NPI assigned
- Apr 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elizabeth K Shon, PH.D
- Title
- Psychologist
- Phone
- (626) 793-0858
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY11520 | CA | Primary |
Addresses
Primary practice location
745 S Marengo Ave
Suite 105
Pasadena, CA 91106-4735
Mailing address
745 S Marengo Ave
Suite 105
Pasadena, CA 91106-4735
Phone (626) 793-0858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
745 S Marengo Ave
Ste 105
Pasadena, CA 91106
Phone (623) 793-0858
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Pasadena, CA
- NPI 1487706248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271116800000",
"number": "1154647345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 S MARENGO AVE",
"address_2": "SUITE 105",
"city": "PASADENA",
"state": "CA",
"postal_code": "911064735",
"telephone_number": "626-793-0858",
"fax_number": "323-256-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 S MARENGO AVE",
"address_2": "SUITE 105",
"city": "PASADENA",
"state": "CA",
"postal_code": "911064735",
"telephone_number": "626-793-0858",
"fax_number": "323-256-8203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR ELIZABETH SHON, PSYCHOLOGICAL SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-13",
"last_updated": "2010-04-13",
"status": "A",
"authorized_official_last_name": "SHON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "626-793-0858",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY11520",
"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 Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.