Psychological Health and Wellness Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PSYCHOLOGICAL HEALTH AND WELLNESS INC

Practice address

595 E Colorado Blvd Ste 409
Pasadena, CA 91101-2018

Phone

(626) 540-2125

NPI assigned

Feb 16, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Fang Hsia, PHDNPI 1306479795

Title

Owner

Phone

(626) 540-2125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Fang Hsia, PHD

  • Psychologist
  • Pasadena, CA
  • NPI 1306479795
  Medicare reassignment NPD Authorized official
• Gabriel John Hubbard, PSY.D.

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1760770424
  NPD (past)

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1275166472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORDOVA ST UNIT 385",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014610",
            "telephone_number": "626-372-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 409",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012018",
            "telephone_number": "626-540-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL HEALTH AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-16",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "HSIA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "FANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-540-2125",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stasha Provitt
• Simona Prunau, AMFT, APCC
• Linda Pry, MA
• David William Pryor, LMFT
• Psychlarity Family Therapy Inc
• Public Works Group
• Maria Elena Puentes, L.M.F.T
• Katrina Puga
• Toma Puig
• Joshua Pule

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.