Alexis Abernethy, PHD, CGP
Individual provider Active NPI Clinical Psychologist · Pasadena, CA
NPI 1760933386 · NPPES record last updated Oct 19, 2016
Key facts
- NPI
- 1760933386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 17059 (CA)
- Practice address
- 180 N Oakland Ave
Pasadena, CA 91101-1714 - Phone
- (626) 584-5359
- Fax
- (626) 584-9630
- NPI assigned
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17059 | CA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 17059 | CA | Yes |
| Group Psychotherapy Psychologist | 103TP2701X | 17059 | CA |
Addresses
Primary practice location
180 N Oakland Ave
Pasadena, CA 91101-1714
Mailing address
180 N Oakland Ave
Pasadena, CA 91101-1714
Phone (626) 584-5359
Other providers in Pasadena, CA
- Joseph E Abe
- George Soliman Abed
- Maria Antonette Co Abejuela
- James Matthew Abele
- Kerri Lean Abernathy
- Devan Jane Abhari
- Olivia Abler
- Lena Aboulhosn
- Ragie Aboulhosn
- Omar Abousaif
All providers in Pasadena, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.