NPIMap

Organization Active NPI

La Vie Psychology, Inc.

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1801821830
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY9219 Issued in CA
Legal business name
LA VIE PSYCHOLOGY, INC.
Practice address
650 Sierra Madre Villa Ave
Suite 110
Pasadena, CA 91107-2013
Phone
(626) 351-9616
Fax
(626) 351-9493
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Mark W. Baker, PH.D.NPI 1528239506
Title
President
Phone
(626) 351-9616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY9219 CA Primary

Addresses

Primary practice location

650 Sierra Madre Villa Ave
Suite 110
Pasadena, CA 91107-2013

Mailing address

650 Sierra Madre Villa Ave
Suite 110
Pasadena, CA 91107-2013
Phone (626) 351-9616

National Provider Directory

National Provider Directory
Tax ID family
La Vie Psychology Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1801821830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SIERRA MADRE VILLA AVE",
            "address_2": "SUITE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072013",
            "telephone_number": "626-351-9616",
            "fax_number": "626-351-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SIERRA MADRE VILLA AVE",
            "address_2": "SUITE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072013",
            "telephone_number": "626-351-9616",
            "fax_number": "626-351-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VIE PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-351-9616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9219",
            "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 Oct 16, 2007; 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.