Tom a. Eisenberg, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY20136 Issued in CA

Legal business name

TOM A. EISENBERG, PH.D.

Doing business as

Huntington Behavioral Health

Practice address

2130 Huntington Dr
#306
South Pasadena, CA 91030-4964

Phone

(626) 799-3869

Fax

(626) 768-7490

NPI assigned

Apr 20, 2010

Last updated

Apr 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tom Andrew Eisenberg, PH.D.NPI 1669509733

Title

Clinical Director

Phone

(626) 799-3869

Specialties & licenses 2

Addresses

Other names 1

• Huntington Behavioral Health Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tom Andrew Eisenberg, PH.D.

  • Psychologist
  • South Pasadena, CA
  • NPI 1669509733
  NPD (past) Authorized official
• Annalisa Angelica Almendras, PSY.D.

  • Clinical Psychologist
  • Wexford, PA
  • NPI 1023200805
  NPD (past)

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1619293362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917800327",
            "telephone_number": "626-799-3869",
            "fax_number": "626-768-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HUNTINGTON DR",
            "address_2": "#306",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304964",
            "telephone_number": "626-799-3869",
            "fax_number": "626-768-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM A. EISENBERG, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "626-799-3869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20136",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntington Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Travon Di Angelo Tillis
• Timothy Samkit Tin, L.AC.
• Tina Marie Therapy, Licensed Clinical Social Worker, Inc.
• Nancy Tinajero-Guerrero
• Tishangi Kumar Agrawal MD
• Ernest Tom Jr.
• Heather Tom, SLP
• Tony S. Hwang DDS, Inc
• Sona Topalian
• Aaron Bradley Tran

• Psychologist in South Pasadena, CA
• Providers in South 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 20, 2010; 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.