Organization Active NPI

Trivium Delta Psychology Group Professional Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, CA
National Provider Identifier
1497648232
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TRIVIUM DELTA PSYCHOLOGY GROUP PROFESSIONAL CORPORATION
Practice address
65 N Raymond Ave Ste 330
Pasadena, CA 91103-3947
Phone
(626) 208-9426
NPI assigned
May 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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

Authorized official

Name
Dr. Brianna Staley Shumaker, PHD, ABPPNPI 1336548270
Title
Ceo/Owner
Phone
(626) 208-9426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

65 N Raymond Ave Ste 330
Pasadena, CA 91103-3947

Mailing address

65 N Raymond Ave Ste 330
Pasadena, CA 91103-3947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260204003644 CA Part B Supplier - Clinic/Group Practice 0446739015 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA; Sylmar, CA

National Provider Directory

National Provider Directory

Locations

65 N Raymond Ave
Ste 330
Pasadena, CA 91103
Phone (323) 389-4619

960 E Green St
Ste 201
Pasadena, CA 91106
Phone (626) 796-8945

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765584000000",
    "number": "1497648232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N RAYMOND AVE STE 330",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N RAYMOND AVE STE 330",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033947",
            "telephone_number": "626-208-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIVIUM DELTA PSYCHOLOGY GROUP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A",
        "authorized_official_last_name": "STALEY SHUMAKER",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "626-208-9426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ABPP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Dec 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.