Active NPI
VI T Pham Negrete, PSYD
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1962275909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY34705
- Practice address
- 680 E Colorado Blvd Ste 180&2ND
Pasadena, CA 91101-6143 - Phone
- (909) 235-9532
- NPI assigned
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 94026787 | CA | |
| Clinical Psychologist | 103TC0700X | PSY34705 | CA | Primary |
Addresses
Primary practice location
680 E Colorado Blvd Ste 180&2ND
Pasadena, CA 91101-6143
Mailing address
5150 Mae Anne Ave
Ste 405, PMB 3035
Reno, NV 89523
Phone (909) 235-9532
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY34705 | CA | MD | Clinical Psychologist |
| 94026787 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1962275909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 MAE ANNE AVE",
"address_2": "STE 405, PMB 3035",
"city": "RENO",
"state": "NV",
"postal_code": "89523",
"telephone_number": "909-235-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 E COLORADO BLVD STE 180&2ND",
"city": "PASADENA",
"state": "CA",
"postal_code": "911016143",
"telephone_number": "909-235-9532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM NEGRETE",
"first_name": "VI",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-01",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "94026787",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY34705",
"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 Nov 8, 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.