Active NPI
Roberto Zarate, PHD
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1790811248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY26446
- Practice address
- 751 N Fair Oaks Ave
Suite 301
Pasadena, CA 91103-3069 - Phone
- (626) 405-4001
- Fax
- (818) 301-7443
- NPI assigned
- Feb 26, 2007
- Last updated
- Mar 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY26446 | CA | Primary |
Addresses
Primary practice location
751 N Fair Oaks Ave
Suite 301
Pasadena, CA 91103-3069
Mailing address
PO Box 247
Pasadena, CA 91102-0247
Phone (626) 405-4001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
222 W Eulalia St
Glendale, CA 91204-2851
Phone (818) 240-0108
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26446 | CA | MD | Clinical Psychologist |
| 26446 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A.Davtian M.D. Medical Services Inc. | Current | Accepting new patients | |
| Comprehensive Wellness Center, Inc. | Past | Accepting new patients | |
| The de Brito Professional Medical Corporation | Past | Accepting new patients |
Locations
222 W Eulalia St
Ste 301
Glendale, CA 91204
Phone (213) 298-3487
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Integrated Medical and Behavioral Associates
- Multi-Specialty Clinic/Center
- Glendale, CA
- NPI 1356392344
-
- Addiction Psychiatry Physician
- Pasadena, CA
- NPI 1194198390
-
- Clinical Neuropsychologist
- Pasadena, CA
- NPI 1790098978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1790811248",
"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": "SUITE 301",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033069",
"telephone_number": "626-405-4001",
"fax_number": "818-301-7443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARATE",
"first_name": "ROBERTO",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY26446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.