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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2026
- 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. John Patrick Pedersen
- Title
- Clinical Psychologist
- Phone
- (626) 449-4737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Pasadena, CA
- NPI 1376695635
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.