PCH Pasadena, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PCH PASADENA, LLC

Practice address

2400 Mission St
San Marino, CA 91108-1632

Phone

(310) 566-7625

NPI assigned

Aug 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Terry Krekorian

Title

President

Phone

(310) 963-2059

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Seth Kadish, PSY.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1649554403
  NPD (past)

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1699220145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11965 VENICE BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663954",
            "telephone_number": "310-566-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MISSION ST",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081632",
            "telephone_number": "310-566-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCH PASADENA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "KREKORIAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-963-2059",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P.S. Enterprise, Inc
• Erin Loyd Page
• Deborah Palmer
• Jacqueline J Pardo, CCC-SLP
• Aura-Marie Pawley, M.D.
• Shadye Z Peyvan, LAC
• Irit Potter, MSOM, L.AC.
• William Michael Pritchard, O.D.
• Robert Hunter Pritchett, AMFT
• Rubio Reyes Punzalan, M.D.

• Community/Behavioral Health Agency in San Marino, CA
• Providers in San Marino, CA by specialty
• Community/Behavioral Health Agency in California

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