Organization Active NPI

Pasadena Psychiatric Medical Group

  • Psychiatry Physician
  • Pasadena, CA
National Provider Identifier
1376696476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PASADENA PSYCHIATRIC MEDICAL GROUP
Practice address
301 E Colorado Blvd Ste 628
Pasadena, CA 91101-1918
Phone
(626) 795-9174
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Todd M Hutton, M.D.
Title
Psychiatrist
Phone
(626) 795-9174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

301 E Colorado Blvd Ste 628
Pasadena, CA 91101-1918

Mailing address

301 E Colorado Blvd Ste 628
Pasadena, CA 91101-1918
Phone (626) 795-9174

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376696476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E COLORADO BLVD STE 628",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011918",
            "telephone_number": "626-795-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E COLORADO BLVD STE 628",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011918",
            "telephone_number": "626-795-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA PSYCHIATRIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "626-795-9174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.