Organization Active NPI

Dr Elizabeth Shon, Psychological Services Inc.

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1154647345
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11520 Issued in CA
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

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Dr. Elizabeth K Shon, PH.DNPI 1487706248
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20100706000311 CA Part B Supplier - Clinic/Group Practice 2961533096 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.