Active NPI
Richard P Horevitz, PH.D.
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1194750786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 21981
- Practice address
- 664 N Raymond Ave
Pasadena, CA 91103-3435 - Phone
- (323) 767-6053
- Fax
- (626) 421-6775
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 71006214 | IL | |
| Clinical Psychologist | 103TC0700X | PSY 21981 | CA | Primary |
Addresses
Primary practice location
664 N Raymond Ave
Pasadena, CA 91103-3435
Mailing address
664 N Raymond Ave
Pasadena, CA 91103-3435
Phone (323) 767-6053
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01632515 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 364495759 | Other | IL | FEIN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 21981 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consulting & Clinical Psychology | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Winnetka, IL
- NPI 1710086269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1194750786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 N RAYMOND AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033435",
"telephone_number": "323-767-6053",
"fax_number": "626-421-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 N RAYMOND AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033435",
"telephone_number": "323-767-6053",
"fax_number": "626-421-6775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOREVITZ",
"first_name": "RICHARD",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "71006214",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 21981",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD IL",
"identifier": "01632515",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEIN #",
"identifier": "364495759",
"state": "IL"
}
],
"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 Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.