Individual provider Active NPI

Erwin S Munoz, LCSW, ACPH-SW, PSY.D

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1184993602
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY34286 Issued in CA
Practice address
447 N El Molino Ave
Pasadena, CA 91101
Phone
(626) 577-8480
Fax
(626) 577-8978
NPI assigned
Dec 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 27744 CA
Rehabilitation Counselor 225C00000X
Clinical Psychologist 103TC0700X PSY34286 CA Primary

Addresses

Primary practice location

447 N El Molino Ave
Pasadena, CA 91101

Mailing address

447 N El Molino Ave
Pasadena, CA 91101-1403
Phone (626) 577-8480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161014001905 CA Practitioner - Clinical Social Worker 7719275247 Reassigns benefits to 1 organization
I20230810003605 CA Practitioner - Clinical Psychologist 7719275247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Psychology IncGroup PAC ID 8325350630, 3 clinicians

Practice addresses (Care Compare)

3902 E 4TH St
Long Beach, CA 90814-1656
Phone (562) 434-8421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 27744CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychology, Inc Clinical CurrentSince Jul 1, 2023 Accepting new patients

Locations

112 Harvard Ave
Claremont, CA 91711
Phone (909) 455-5831

3902 E 4th St
Long Beach, CA 90814
Phone (562) 434-8421

2443 Fillmore St
San Francisco, CA 94115
Phone (415) 689-8591

3141 Stevens Creek Blvd
San Jose, CA 95117
Phone (408) 617-5191

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1184993602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 N EL MOLINO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011403",
            "telephone_number": "626-577-8480",
            "fax_number": "626-577-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N EL MOLINO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "626-577-8480",
            "fax_number": "626-577-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "ERWIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "LCSW, ACPH-SW, PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-29",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 27744",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.