Individual provider Active NPI

Jennifer Fang Hsia, PHD

  • Psychologist
  • Pasadena, CA
National Provider Identifier
1306479795
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY28933 Issued in CA
Practice address
595 E Colorado Blvd Ste 409
Pasadena, CA 91101-2018
Phone
(626) 540-2125
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY28933 CA Primary

Addresses

Primary practice location

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

Mailing address

330 Cordova St Unit 385
Pasadena, CA 91101-4610
Phone (626) 372-2799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200516000100 CA Practitioner - Clinical Psychologist 3870924327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 Cordova St
Unit 385
Pasadena, CA 91101-4610
Phone (626) 540-2125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY28933CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Health and Wellness Inc CurrentSince Feb 16, 2020 Accepting new patients

Locations

595 E Colorado Blvd
Ste 409
Pasadena, CA 91101
Phone (626) 344-7895

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.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1306479795",
    "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": {
        "last_name": "HSIA",
        "first_name": "JENNIFER",
        "middle_name": "FANG",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY28933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.