Active NPI
Holly E. Cabuhat
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1336395763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- #PSY26047
- Practice address
- 2550 E Foothill Blvd
Pasadena, CA 91107-3406 - Phone
- (559) 917-5505
- NPI assigned
- Aug 18, 2008
- Last updated
- May 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | #PSY26047 | CA | Primary |
Addresses
Primary practice location
2550 E Foothill Blvd
Pasadena, CA 91107-3406
Mailing address
2550 E Foothill Blvd
Pasadena, CA 91107-3406
Phone (559) 917-5505
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #PSY26047 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1336395763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 E FOOTHILL BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073406",
"telephone_number": "559-917-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 E FOOTHILL BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073406",
"telephone_number": "559-917-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABUHAT",
"first_name": "HOLLY",
"middle_name": "E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "#PSY26047",
"primary": true
}
],
"identifiers": [],
"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 May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.