Joy Michelle Bustrum, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19859 Issued in CA

Practice address

131 N El Molino Ave
Suite 220
Pasadena, CA 91101-1873

Phone

(626) 389-7411

Fax

(626) 449-5465

NPI assigned

Mar 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 13, 2020 through Aug 13, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ellu Partners, Inc.

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1528413374
  NPD (past)

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426377600000",
    "number": "1760875769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N EL MOLINO AVE",
            "address_2": "SUITE 220",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011873",
            "telephone_number": "626-389-7411",
            "fax_number": "626-449-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N EL MOLINO AVE",
            "address_2": "SUITE 220",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011873",
            "telephone_number": "626-389-7411",
            "fax_number": "626-449-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTRUM",
        "first_name": "JOY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-15",
        "last_updated": "2015-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederic Ransom Bushnell III, M.D.
• Kristina Bustamantes
• Arabelle Bustos - Van Ranzow, MSW
• Martha Bustos, PHDY
• Nathan Bustos
• Sarah Jane Butcher, LMFT
• Christine R Butler
• Christopher Jay Butler, MPT
• Heather Lee Butler, MD
• Kelley Butler, LCSW

• 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 Mar 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.