Active NPI
Mitesh Arvin Parekh, PSY.D.
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1528081585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY20519
- Practice address
- 33 S Catalina Ave
Suite 204
Pasadena, CA 91106-2426 - Phone
- (626) 744-9055
- Fax
- (626) 744-9055
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY20519 | CA | |
| Clinical Psychologist | 103TC0700X | PSY20519 | CA | Primary |
Addresses
Primary practice location
33 S Catalina Ave
Suite 204
Pasadena, CA 91106-2426
Mailing address
33 S Catalina Ave
Suite 204
Pasadena, CA 91106-2426
Phone (626) 744-9055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #95-2633765 | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY20519 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1528081585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 S CATALINA AVE",
"address_2": "SUITE 204",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062426",
"telephone_number": "626-744-9055",
"fax_number": "626-744-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 S CATALINA AVE",
"address_2": "SUITE 204",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062426",
"telephone_number": "626-744-9055",
"fax_number": "626-744-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAREKH",
"first_name": "MITESH",
"middle_name": "ARVIN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY20519",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY20519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "#95-2633765",
"state": "CA"
}
],
"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 Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.