Dr. Supatra Tovar & Associates, a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR. SUPATRA TOVAR & ASSOCIATES, A PSYCHOLOGICAL CORPORATION

Practice address

301 N Lake Ave Ste 600
Pasadena, CA 91101-5129

Phone

(626) 674-2639

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Supatra H Tovar, PSYD, RDNPI 1861869489

Title

Owner

Phone

(626) 674-2639

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.

• Supatra Hanna Tovar, PSYD, RD

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1861869489
  NPD Authorized official

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671840000000",
    "number": "1548870728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N LAKE AVE STE 600",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015129",
            "telephone_number": "626-674-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N LAKE AVE STE 600",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015129",
            "telephone_number": "626-674-2639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Walnut St Ste 246",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911065370",
            "country_code": "US",
            "telephone_number": "626-674-2639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 E Colorado Blvd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911012113",
            "country_code": "US",
            "telephone_number": "626-674-2639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. SUPATRA TOVAR & ASSOCIATES, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-12-24",
        "certification_date": "2022-12-24",
        "status": "A",
        "authorized_official_last_name": "TOVAR",
        "authorized_official_first_name": "SUPATRA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-674-2639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, RD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2022; 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.