Institute for Girls' Development

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

13102 Issued in CA

Legal business name

INSTITUTE FOR GIRLS' DEVELOPMENT

Practice address

95 N Marengo Ave Ste 205
Pasadena, CA 91101-1755

Phone

(626) 585-8075

Fax

(626) 585-0440

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Johnson, PH.D.NPI 1699979906

Title

President

Phone

(626) 585-8075

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Melissa Jean Johnson, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Pasadena, CA
  • NPI 1699979906
  NPD (past) Authorized official
• Silvina Alejandra Irwin, PH.D.

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1881817864
  NPD (past)
• Emily A. Moore, MFT

  • Marriage & Family Therapist
  • Pasadena, CA
  • NPI 1801827118
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912035775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 N MARENGO AVE STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011755",
            "telephone_number": "626-585-8075",
            "fax_number": "626-585-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N MARENGO AVE STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011755",
            "telephone_number": "626-585-8075",
            "fax_number": "626-585-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR GIRLS' DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-585-8075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "13102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innova Physician Network, Inc.
• Innovative Wound Solutions
• Insight Behavioral Health, Inc
• Insight Personal and Family Therapy, Inc
• Insight Psychiatry, Inc.
• Institute for the Redesign of Learning
• Institute for the Redesign of Learning
• Institute of Diagnositc Medicine & Research Inc
• Integrated Forensic & Clinical Psychological Services (InPsych)
• Integrative Psychology, Inc

• Clinical Child & Adolescent Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.