Active NPI
Cynthia G Pearson, PHD
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1932377868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY10018
- Practice address
- 97 W Bellevue Drive
#2
Pasadena, CA 91105 - Phone
- (626) 405-0979
- NPI assigned
- Feb 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY10018 | CA | Primary |
Addresses
Primary practice location
97 W Bellevue Drive
#2
Pasadena, CA 91105
Mailing address
97 W Bellevue Drive
#2
Pasadena, CA 91105
Phone (626) 405-0979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP10018 | Other | PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10018 | CA | MD | Clinical Psychologist |
| 10018 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1932377868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 W BELLEVUE DRIVE",
"address_2": "#2",
"city": "PASADENA",
"state": "CA",
"postal_code": "91105",
"telephone_number": "626-405-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 W BELLEVUE DRIVE",
"address_2": "#2",
"city": "PASADENA",
"state": "CA",
"postal_code": "91105",
"telephone_number": "626-405-0979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "CYNTHIA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY10018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER #",
"identifier": "CP10018",
"state": null
}
],
"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 Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.