Organization Active NPI

Jon-Patrik Pedersen, PHD, Clinical Psychology P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, CA
National Provider Identifier
1225953490
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JON-PATRIK PEDERSEN, PHD, CLINICAL PSYCHOLOGY P.C.
Doing business as
Jon-Patrik Pedersen, PhD, Clinical Psychology P.C.
Practice address
102 N Madison Ave
Pasadena, CA 91101-1710
Phone
(626) 449-4737
NPI assigned
Aug 13, 2026
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Dr. John Patrick Pedersen
Title
Clinical Psychologist
Phone
(626) 449-4737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

102 N Madison Ave
Pasadena, CA 91101-1710

Mailing address

102 N Madison Ave
Pasadena, CA 91101-1710
Phone (626) 449-4737

Other names 1

  • Jon-Patrik Pedersen, PhD, Clinical Psychology P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

102 N Madison Ave
Pasadena, CA 91101
Phone (323) 240-7987

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1225953490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N MADISON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011710",
            "telephone_number": "626-449-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N MADISON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011710",
            "telephone_number": "626-449-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON-PATRIK PEDERSEN, PHD, CLINICAL PSYCHOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "626-449-4737",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jon-Patrik Pedersen, PhD, Clinical Psychology P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.