Individual provider Active NPI

Patricia Morales, PSYD, LP

  • Clinical Psychologist
  • Glendale, CA
National Provider Identifier
1467650689
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22639 Issued in CA
Practice address
1577 E Chevy Chase Dr Ste 120
Glendale, CA 91206-4193
Phone
(818) 240-0340
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 22639 CA Primary
Rehabilitation Practitioner 225400000X

Addresses

Primary practice location

1577 E Chevy Chase Dr Ste 120
Glendale, CA 91206-4193

Mailing address

1577 E Chevy Chase Dr Ste 120
Glendale, CA 91206-4193
Phone (818) 240-0340

Other practice location 1

1126 N Grand Ave
Suite D
Covina, CA 91724-1551
Phone (626) 676-9864

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
I20260106001943 CA Practitioner - Clinical Psychologist 7012403496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

1577 E Chevy Chase Dr
Suite 120
Glendale, CA 91206-4193
Phone (858) 279-1223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22639CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc Clinical CurrentSince Apr 21, 2026 Accepting new patients
Hope Opportunity & Mental Empowerment CurrentSince Mar 3, 2024 Accepting new patients
Psychotherapy Center for Healing and Personal Growth Psychologist Past Accepting new patients

Locations

15720 Ventura Blvd
Ste 420
Encino, CA 91436
Phone (818) 345-0107

1577 E Chevy Chase Dr
Ste 120
Glendale, CA 91206
Phone (818) 240-0340

Organizations & group practices 3

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1467650689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 E CHEVY CHASE DR STE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064193",
            "telephone_number": "818-240-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 E CHEVY CHASE DR STE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064193",
            "telephone_number": "818-240-0340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 N Grand Ave",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917241551",
            "country_code": "US",
            "telephone_number": "626-676-9864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22639",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.