Individual provider Active NPI

Catherine A. Marshall, PSYD

  • Clinical Psychologist
  • Glendora, CA
National Provider Identifier
1447686787
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 25807 Issued in CA
Practice address
510 S Grand Ave
Suite 200
Glendora, CA 91741-4207
Phone
(626) 914-1980
NPI assigned
Sep 18, 2013
Last updated
Sep 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 25807 CA Primary

Addresses

Primary practice location

510 S Grand Ave
Suite 200
Glendora, CA 91741-4207

Mailing address

2335 E Colorado Blvd
Suite 115245
Pasadena, CA 91107-6833
Phone (626) 390-3030

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
I20140306000030 CA Practitioner - Clinical Psychologist 1254560386 Practice locations: Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

711 E Walnut St
Suite 201
Pasadena, CA 91101-4400
Phone (626) 390-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 25807CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1447686787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 E COLORADO BLVD",
            "address_2": "SUITE 115245",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911076833",
            "telephone_number": "626-390-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S GRAND AVE",
            "address_2": "SUITE 200",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414207",
            "telephone_number": "626-914-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CATHERINE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 25807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.