Neuro-Rehab Psychological Consultation & Treatment Services, Inc.

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

25089 Issued in CA

Legal business name

NEURO-REHAB PSYCHOLOGICAL CONSULTATION & TREATMENT SERVICES, INC.

Practice address

595 E Colorado Blvd Ste 307
Pasadena, CA 91101-2021

Phone

(626) 710-7838

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Mona Mikael, PSYDNPI 1588862536

Title

Clinician/Psychologist

Phone

(626) 710-7838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mona Mikael, PSY.D.

  • Specialist
  • Pasadena, CA
  • NPI 1588862536

  CA

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1164803136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 307",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012021",
            "telephone_number": "626-710-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 307",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012021",
            "telephone_number": "626-710-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-REHAB PSYCHOLOGICAL CONSULTATION & TREATMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "MIKAEL",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "CLINICIAN/PSYCHOLOGIST",
        "authorized_official_telephone_number": "626-710-7838",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "25089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelly Nersisyan, BA
• Veronica Nesta
• Josh Apithat Netsawang
• Leanne Marie Renee Nettles
• Neuro-Rehab Consultation & Treatment Services
• Neurolink Diagnostics Co. LLC.
• Neurolink Idft Company LLC
• Neurolink Medical
• Neurologicinc
• Esmeralda Nevarez

• All providers in Pasadena, CA
• Rehabilitation Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.