Individual provider Active NPI

Paula Marie Santos, PSY.D., BCBA-D

  • Behavior Analyst
  • Pasadena, CA
National Provider Identifier
1346474038
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2700 E Foothill Blvd Ste 100
Pasadena, CA 91107-3443
Phone
(626) 824-0982
NPI assigned
May 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSY25243 CA
Clinical Child & Adolescent Psychologist 103TC2200X PSY25243 CA
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2700 E Foothill Blvd Ste 100
Pasadena, CA 91107-3443

Mailing address

2700 E Foothill Blvd Ste 100
Pasadena, CA 91107-3443
Phone (626) 824-0982

Other practice location 1

255 E Santa Clara St
Ste. 210
Arcadia, CA 91006-7226
Phone (626) 824-0982

Other identifiers 1

IdentifierTypeStateIssuer
PSY25243OtherCABOARD OF PSYCHOLOGY CERTIFICATE LICENSE NUMBER

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

LicenseStateTypeSpecialty
PSY25243CAMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Assessment, Consultation & Treatment Inc Behavior Analyst Past Accepting new patients

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": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1346474038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD STE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073443",
            "telephone_number": "626-824-0982",
            "fax_number": "888-717-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD STE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073443",
            "telephone_number": "626-824-0982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E Santa Clara St",
            "address_2": "Ste. 210",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910067226",
            "country_code": "US",
            "telephone_number": "626-824-0982",
            "fax_number": "888-717-7674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY25243",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY25243",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PSYCHOLOGY CERTIFICATE LICENSE NUMBER",
            "identifier": "PSY25243",
            "state": "CA"
        }
    ],
    "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 Feb 25, 2019; 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.