Individual provider Active NPI

Adrienne Elizabeth Pasek, PSYD

  • Clinical Psychologist
  • Huntington Beach, CA
National Provider Identifier
1699007591
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23321 Issued in CA
Practice address
8941 Atlanta Ave
Ste 319
Huntington Beach, CA 92646-7121
Phone
(949) 201-5779
Fax
(877) 209-7251
NPI assigned
Feb 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 23321 CA
Clinical Psychologist 103TC0700X 23321 CA Primary
Clinical Child & Adolescent Psychologist 103TC2200X 23321 CA
Skilled Nursing Facility 314000000X 23321 CA

Addresses

Primary practice location

8941 Atlanta Ave
Ste 319
Huntington Beach, CA 92646-7121

Mailing address

8941 Atlanta Ave
Ste 319
Huntington Beach, CA 92646-7121
Phone (949) 201-5779

Other identifiers 1

IdentifierTypeStateIssuer
AD OPL233211OtherCABLUE SHIELD

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vericare of California Medical Group Clinical Past Accepting new patients

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": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1699007591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8941 ATLANTA AVE",
            "address_2": "STE 319",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467121",
            "telephone_number": "949-201-5779",
            "fax_number": "877-209-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8941 ATLANTA AVE",
            "address_2": "STE 319",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467121",
            "telephone_number": "949-201-5779",
            "fax_number": "877-209-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASEK",
        "first_name": "ADRIENNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "23321",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "23321",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "23321",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "23321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "AD OPL233211",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.