Individual provider Active NPI

Marquita L. Stokes, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Pasadena, CA
National Provider Identifier
1548613607
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
595 E Colorado Blvd Ste 324
Pasadena, CA 91101-2021
Phone
(818) 839-1365
Fax
(626) 385-4871
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X Primary

Addresses

Primary practice location

595 E Colorado Blvd Ste 324
Pasadena, CA 91101-2021

Mailing address

595 E Colorado Blvd Ste 324
Pasadena, CA 91101-2021
Phone (818) 839-1365

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
I20190826000222 CA Practitioner - Clinical Psychologist 6305174624 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30182CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cala Psychological Services, Inc CurrentSince Mar 31, 2019 Accepting new patients

Locations

595 E Colorado Blvd
Ste 428
Pasadena, CA 91101
Phone (818) 600-7312

595 E Colorado Blvd
Ste 324
Pasadena, CA 91101
Phone (626) 765-1976

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": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1548613607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 324",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012021",
            "telephone_number": "818-839-1365",
            "fax_number": "626-385-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 324",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012021",
            "telephone_number": "818-839-1365",
            "fax_number": "626-385-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "MARQUITA",
        "middle_name": "L.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.