Pasadena Psychological Services, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PASADENA PSYCHOLOGICAL SERVICES, INC.

Practice address

913 E Walnut St
Pasadena, CA 91106-1720

Phone

(626) 795-7910

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Andrea Davis, PHDNPI 1528434172

Title

Owner

Phone

(626) 833-4198

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Andrea Davis, PH.D.

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1528434172
  NPD Authorized official

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1881459147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061720",
            "telephone_number": "626-795-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-833-4198",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pasadena Plastic Surgery Center Inc
• Pasadena Podiatry a Professional Corporation
• Pasadena Premier Dermatology Partners
• Pasadena Primary Care Inc
• Pasadena Psychiatric Medical Group
• Pasadena Public Health Department.
• Pasadena Recovery Center
• Pasadena Senior Living Center LLC
• Pasadena Sleep Solutions Okamoto Dental Office PC
• Pasadena Surgery Center Inc. a Medical Corporation

• 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 Feb 15, 2024; 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.