Neuro-Rehab Consultation & Treatment Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25089 Issued in CA

Legal business name

NEURO-REHAB CONSULTATION & TREATMENT SERVICES

Practice address

630 S Raymond Ave
#340
Pasadena, CA 91105-3278

Phone

(626) 710-7838

Fax

(626) 270-4234

NPI assigned

Apr 16, 2015

Last updated

Apr 16, 2015By 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

Mona Mikael, PSYDNPI 1588862536

Title

Psychologist

Phone

(626) 710-7838

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, and the practitioner matching its NPPES authorized official.

• Mona Mikael, PSY.D.

  • Specialist
  • Pasadena, CA
  • NPI 1588862536
  Authorized official Same address or phone

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1720475825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 E GREEN ST",
            "address_2": "#422",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062410",
            "telephone_number": "626-710-7838",
            "fax_number": "626-270-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE",
            "address_2": "#340",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053278",
            "telephone_number": "626-710-7838",
            "fax_number": "626-270-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-REHAB CONSULTATION & TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "MIKAEL",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "626-710-7838",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "25089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Namiko Nerio, D.O., M.S.
• Nelly Nersisyan, BA
• Veronica Nesta
• Josh Apithat Netsawang
• Leanne Marie Renee Nettles
• Neuro-Rehab Psychological Consultation & Treatment Services, Inc.
• Neurolink Diagnostics Co. LLC.
• Neurolink Idft Company LLC
• Neurolink Medical
• Neurologicinc (Concussionsrus)

• 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 Apr 16, 2015; 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.