Divergent Shades

Primary specialty

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

Legal business name

DIVERGENT SHADES

Practice address

625 Fair Oaks Ave Ste 358
South Pasadena, CA 91030-5812

Phone

(626) 460-6012

NPI assigned

Feb 15, 2025

Organization subpart

No

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

Authorized official

Name

Tara Ford Leufroy, PSYDNPI 1891120085

Title

Partner/Owner/Clinical Psychologist

Phone

(818) 369-9060

Specialties & licenses 6

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Tara Ford Leufroy, PSY.D.

  • Clinical Psychologist
  • Glendale, CA
  • NPI 1891120085
  NPD Authorized official

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739577600000",
    "number": "1942005830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE STE 358",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305812",
            "telephone_number": "626-460-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE STE 358",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305812",
            "telephone_number": "626-460-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERGENT SHADES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A",
        "authorized_official_last_name": "LEUFROY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "FORD",
        "authorized_official_title_or_position": "PARTNER/OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-369-9060",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TARA LEUFROY NPI",
            "identifier": "1891120085",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEPHANIE REITER MORRISSEY'S NPI",
            "identifier": "1467877134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlo Diaz, MFT
• Griselda Diaz
• Karla Diesto
• Melissa Digirolamo
• Xue Ding
• Christina Alexis Dixon
• Duan DO
• Melinda Docter, ED.D., BCBA
• Nakita Sheerta Monique Dodd
• Nancy Domingo

• Mental Health Clinic/Center (Including Community Mental Health Center) in South Pasadena, CA
• Providers in South Pasadena, 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 Feb 15, 2025; 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.