Ellen Miller Kwon, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

24302 Issued in CA

Legal business name

ELLEN MILLER KWON, PSYD

Practice address

65 N Madison Ave
Suite 405
Pasadena, CA 91101-2035

Phone

(626) 807-5451

Fax

(626) 395-7751

NPI assigned

Nov 12, 2013

Last updated

Nov 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ellen Marie Kwon, PSY,D,

Title

Owner

Phone

(626) 807-5451

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ellen Marie Kwon Other name

Locations

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1356771315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE",
            "address_2": "SUITE 405",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012035",
            "telephone_number": "626-807-5451",
            "fax_number": "626-395-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE",
            "address_2": "SUITE 405",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012035",
            "telephone_number": "626-807-5451",
            "fax_number": "626-395-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN MILLER KWON, PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-807-5451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY,D,"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "24302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1376741884",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PSYCHOLOGY",
            "identifier": "24302",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellen Marie Kwon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elite Lab Services LLC
• Elizabeth Swida-Skillen DC a Chiropractic Corporation
• Rita Elkaddoum
• Ellen Marie Kwon, PSYD, Inc, a Psych Corp
• Ellen McDonald, M.D., Inc.
• Cooper D Eller
• Sara E Ellerbe
• Candace A. Elliott, C-FNP, C-ACNP, C-PMN
• Anne Ellis, PT, DPT
• Jeffrey S Ellis, MFT

• Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.