Pasadena Child Development Associates

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

Legal business name

PASADENA CHILD DEVELOPMENT ASSOCIATES

Practice address

620 N Lake Ave
Pasadena, CA 91101-1220

Phone

(626) 793-7350

Fax

(626) 793-7341

NPI assigned

Jun 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Diane Cullinane, M.D.

Title

Executive Director

Phone

(626) 793-7350

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1518288570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011220",
            "telephone_number": "626-793-7350",
            "fax_number": "626-793-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011220",
            "telephone_number": "626-793-7350",
            "fax_number": "626-793-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA CHILD DEVELOPMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "CULLINANE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-793-7350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pasa Alta Manor
• Pasadena Advanced Surgery Institute
• Pasadena Ambulatory Surgery Center
• Pasadena Ambulatory Surgery Center LLC
• Pasadena Care Center, LLC
• Pasadena City Pharmacy
• Pasadena Clinical Group, a Psychology Corporation
• Pasadena Colon & Rectal Med GRP
• Pasadena Community Urgent Care
• Pasadena Congregate Living, Inc.

• Physical Rehabilitation Occupational Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Physical Rehabilitation Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.