Active NPI
The de Brito Professional Medical Corporation
- Clinical Neuropsychologist
- Pasadena, CA
National Provider Identifier
1790098978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- A66604
- Legal business name
- THE DE BRITO PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 751 N Fair Oaks Ave
301
Pasadena, CA 91103-3069 - Phone
- (626) 405-4001
- Fax
- (818) 301-7443
- NPI assigned
- Jul 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dirk De Brito, MD, MPH
- Title
- President
- Phone
- (310) 717-0069
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | A66604 | CA | Primary |
| Exclusive Provider Organization | 302F00000X | G64523 | CA | |
| Preferred Provider Organization | 305R00000X | PSY26446 | CA |
Addresses
Primary practice location
751 N Fair Oaks Ave
301
Pasadena, CA 91103-3069
Mailing address
PO Box 247
Pasadena, CA 91102-0247
Phone (626) 405-4001
National Provider Directory
National Provider DirectoryLocations
301 E Colorado Blvd
Ste 628
Pasadena, CA 91101
Phone (626) 405-4001
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Pasadena, CA
- NPI 1992903918
-
- Social Worker
- Santa Clarita, CA
- NPI 1225529886
-
- Mental Health Counselor
- Pasadena, CA
- NPI 1639693096
-
- Clinical Psychologist
- Pasadena, CA
- NPI 1790811248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485302400000",
"number": "1790098978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"city": "PASADENA",
"state": "CA",
"postal_code": "911020247",
"telephone_number": "626-405-4001",
"fax_number": "818-301-7443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 N FAIR OAKS AVE",
"address_2": "301",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033069",
"telephone_number": "626-405-4001",
"fax_number": "818-301-7443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DE BRITO PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-16",
"last_updated": "2017-01-25",
"status": "A",
"authorized_official_last_name": "DE BRITO",
"authorized_official_first_name": "DIRK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-717-0069",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, MPH"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "A66604",
"primary": true
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "CA",
"license": "G64523",
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CA",
"license": "PSY26446",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
- The Arroyos Treatment Centers
- The California-Pasadena Conv Hosp
- The Center for Connection
- The Center for Connection
- The Consciousness Center, an Individual, Marriage, and Family Holistic (Holistic Trauma Therapist)
- The Distinguished Doula LLC
- The Encouragement Company, LLC
- The Feelings Exchange Counseling Services
- The Gooden Center
- The Hill Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.