Individual provider Active NPI

David Joseph Zableckis, PSY.D.

  • Clinical Psychologist
  • South Pasadena, CA
National Provider Identifier
1669528980
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18194 Issued in CA
Practice address
1000 Fremont Ave
Suite 202
South Pasadena, CA 91030-3225
Phone
(626) 799-9950
Fax
(626) 799-9950
NPI assigned
Jan 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY18194 CA Primary

Addresses

Primary practice location

1000 Fremont Ave
Suite 202
South Pasadena, CA 91030-3225

Mailing address

1635 Monterey Rd
South Pasadena, CA 91030-3821
Phone (818) 426-9924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1669528980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 MONTEREY RD",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303821",
            "telephone_number": "818-426-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE",
            "address_2": "SUITE 202",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303225",
            "telephone_number": "626-799-9950",
            "fax_number": "626-799-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABLECKIS",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.