Active NPI
Barbara L. Janetzke, PHD
- Clinical Psychologist
- San Marino, CA
National Provider Identifier
1174987630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY20188
- Legal business name
- BARBARA L. JANETZKE, PHD
- Practice address
- 2400 Mission St
San Marino, CA 91108-1632 - Phone
- (626) 255-7512
- NPI assigned
- Apr 11, 2016
- Last updated
- Apr 11, 2016
- 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. Barbara L Janetzke, PH.D.
- Title
- Clinical Psychologist
- Phone
- (626) 255-7512
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY20188 | CA | Primary |
Addresses
Primary practice location
2400 Mission St
San Marino, CA 91108-1632
Mailing address
2400 Mission St
San Marino, CA 91108-1632
Phone (626) 255-7512
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Pasadena, CA
- NPI 1881725653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460332800000",
"number": "1174987630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 MISSION ST",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911081632",
"telephone_number": "626-255-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MISSION ST",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911081632",
"telephone_number": "626-255-7512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARBARA L. JANETZKE, PHD",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-11",
"last_updated": "2016-04-11",
"status": "A",
"authorized_official_last_name": "JANETZKE",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "626-255-7512",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY20188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.