Individual provider Active NPI

David Lee Antion, PH.D.

  • Counseling Psychologist
  • Pasadena, CA
National Provider Identifier
1548312150
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY 9037 Issued in CA
Practice address
745 S Marengo Ave
Ste 102
Pasadena, CA 91106-4737
Phone
(562) 803-6545
Fax
(626) 792-8028
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY 9037 CA Primary

Addresses

Primary practice location

745 S Marengo Ave
Ste 102
Pasadena, CA 91106-4737

Mailing address

745 S Marengo Ave
Ste 102
Pasadena, CA 91106-4737
Phone (562) 803-6545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000743 CA Practitioner - Psychologist Billing Independently 1153454558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Southern California Keck School of Medicine, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

745 S Marengo Ave
Suite 102
Pasadena, CA 91106-4737
Phone (626) 318-6885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
David L. Antion, PH.D., a Professional Corporation CurrentSince Apr 9, 2011 Accepting new patients

Locations

9530 Imperial Hwy
Ste M
Downey, CA 90242
Phone (562) 803-6545

745 S Marengo Ave
Ste 102
Pasadena, CA 91106
Phone (626) 318-6885

Organizations & group practices 1

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1548312150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 S MARENGO AVE",
            "address_2": "STE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911064737",
            "telephone_number": "562-803-6545",
            "fax_number": "626-792-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 S MARENGO AVE",
            "address_2": "STE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911064737",
            "telephone_number": "562-803-6545",
            "fax_number": "626-792-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTION",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY 9037",
            "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 Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.