Pro Psych Services Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PRO PSYCH SERVICES INC

Doing business as

ProPsych services Inc.

Practice address

850 Colorado Blvd Ste 203
Eagle Rock, CA 90041-1733

Phone

(818) 821-6012

Fax

(818) 821-6014

NPI assigned

May 23, 2018

Last updated

May 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacquelyn Anderson

Title

Office

Phone

(818) 915-4346

Specialties & licenses 1

Addresses

Other names 1

• ProPsych services Inc. Doing business as

Tax ID family

Propsych Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pro Psych Services Inc

  • Clinical Psychologist
  • Valley Village, CA
  • NPI 1043224959
  NPD tax ID

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1831680008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 102",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071955",
            "telephone_number": "818-821-6012",
            "fax_number": "818-821-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COLORADO BLVD STE 203",
            "city": "EAGLE ROCK",
            "state": "CA",
            "postal_code": "900411733",
            "telephone_number": "818-821-6012",
            "fax_number": "818-821-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO PSYCH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OFFICE",
        "authorized_official_telephone_number": "818-915-4346"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProPsych services Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adelita Sarai Orellana, LMFT
• Rachel Oyama
• Meeta Natverbhai Patel, PHARMD
• Practice of Medicine
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• Ricardo Roman MD Inc
• Summer Robertson, ATC, CSCS
• Michelle Rodriguez, ATC
• Ricardo Richard Roman, M.D.
• RX Trader Inc (GlenRock Pharmacy)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Eagle Rock, CA
• Providers in Eagle Rock, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.