Supatra Hanna Tovar, PSYD, RD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY31949 Issued in CA

Practice address

1000 E Walnut St Ste 246
Pasadena, CA 91106-5370

Phone

(626) 674-2639

NPI assigned

Aug 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Supatra Tovar & Associates, a Psychological Corporation

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1548870728
  NPD Authorized official

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1861869489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 VIA MARISOL APT 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900425153",
            "telephone_number": "818-636-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E WALNUT ST STE 246",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911065370",
            "telephone_number": "626-674-2639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Via Marisol Apt 303",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900425153",
            "country_code": "US",
            "telephone_number": "818-636-5343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Via Marisol Apt 303",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90042",
            "country_code": "US",
            "telephone_number": "818-636-5343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOVAR",
        "first_name": "SUPATRA",
        "middle_name": "HANNA",
        "name_prefix": "Dr.",
        "credential": "PSYD, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86029010",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR RD CREDENTIAL",
            "identifier": "86029010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalia Toumasis
• Mariel Tourani, MD
• Melissa Touschner
• Melissa Ann Tovaas
• Jessica Marin Tovar
• Ruben Tovmasyan
• Mitchell Bain Towles
• Janet Andrea Toxqui Carbajal
• Sherri Toy
• Neo Toyama

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.