Silver Owl Connections, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

22723 Issued in CA

Legal business name

SILVER OWL CONNECTIONS, LLC

Practice address

202 S Lake Ave
Suite 240
Pasadena, CA 91101

Phone

(626) 319-6327

NPI assigned

Apr 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Audrey Ham, PHD

Title

Partner

Phone

(626) 319-6327

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Mindia Gabichvadze, PSYD

  • Clinical Neuropsychologist
  • Beverly Hills, CA
  • NPI 1063747137
  NPD

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1548670797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S LAKE AVE STE 240",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014831",
            "telephone_number": "626-319-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S LAKE AVE",
            "address_2": "SUITE 240",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "626-319-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER OWL CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "626-319-6327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "22723",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "77636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Crystal Silva
• Paris Silva, LCSW
• Steven Adam Silva
• Vanessa Silva
• Silver Age Hospice Service, Inc.
• Jenny Silver
• Alice Silvestre
• Michael Anthony Sim, NP
• Kelsey M Sima
• Lance David Macapagal Simbulan

• Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.