NPIMap

Organization Active NPI

K.C. Bugg, Psy.D., a Psychological Corporation

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1942479852
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21273 Issued in CA
Legal business name
K.C. BUGG, PSY.D., A PSYCHOLOGICAL CORPORATION
Practice address
446 S Marengo Ave
Suite a
Pasadena, CA 91101-3113
Phone
(626) 209-1194
NPI assigned
Feb 25, 2008
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. K.C Bugg II, PSY.D
Title
Clinical Psychologist
Phone
(626) 209-1194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY21273 CA Primary

Addresses

Primary practice location

446 S Marengo Ave
Suite a
Pasadena, CA 91101-3113

Mailing address

446 S Marengo Ave
Suite a
Pasadena, CA 91101-3113

National Provider Directory

National Provider Directory

Locations

446 S Marengo Ave
#A
Pasadena, CA 91101
Phone (626) 209-1194

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1942479852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 S MARENGO AVE",
            "address_2": "SUITE A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 S MARENGO AVE",
            "address_2": "SUITE A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013113",
            "telephone_number": "626-209-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.C. BUGG, PSY.D., A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "BUGG",
        "authorized_official_first_name": "K.C",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "626-209-1194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21273",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 29, 2012; 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.