Active NPI
La Vie Psychology Group, Inc.
- Clinical Psychologist
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY9219
- Legal business name
- LA VIE PSYCHOLOGY GROUP, INC.
- Practice address
- 650 Sierra Madre Villa Ave
Suite 110
Pasadena, CA 91107-2013 - Phone
- (626) 351-9616
- Fax
- (626) 351-9493
- NPI assigned
- Oct 21, 2008
- 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. Mark W Baker, PH.D.
- Title
- President
- Phone
- (626) 351-9616
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 | PSY9219 | CA | Primary |
Addresses
Primary practice location
650 Sierra Madre Villa Ave
Suite 110
Pasadena, CA 91107-2013
Mailing address
650 Sierra Madre Villa Ave
Suite 110
Pasadena, CA 91107-2013
Phone (626) 351-9616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- La Vie Psychology Group Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Pasadena, CA
- NPI 1801821830
-
- Counseling Psychologist
- Pasadena, CA
- NPI 1134305733
Locations
650 Sierra Madre Villa Ave
Ste 110
Pasadena, CA 91107
Phone (626) 351-9616
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 1528239506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224547200000",
"number": "1174775134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 SIERRA MADRE VILLA AVE",
"address_2": "SUITE 110",
"city": "PASADENA",
"state": "CA",
"postal_code": "911072013",
"telephone_number": "626-351-9616",
"fax_number": "626-351-9493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 SIERRA MADRE VILLA AVE",
"address_2": "SUITE 110",
"city": "PASADENA",
"state": "CA",
"postal_code": "911072013",
"telephone_number": "626-351-9616",
"fax_number": "626-351-9493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA VIE PSYCHOLOGY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-351-9616",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY9219",
"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 Oct 21, 2008; 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.