Organization Active NPI

Weal Inc a Professional Psychological Corp

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1972040095
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY28600 Issued in CA
Legal business name
WEAL INC A PROFESSIONAL PSYCHOLOGICAL CORP
Practice address
65 N Madison Ave Ste 707
Pasadena, CA 91101-2046
Phone
(626) 817-6665
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Richard Labrie, PSY.D.NPI 1629403043
Title
President
Phone
(626) 755-1825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY28600 CA Primary

Addresses

Primary practice location

65 N Madison Ave Ste 707
Pasadena, CA 91101-2046

Mailing address

65 N Madison Ave Ste 707
Pasadena, CA 91101-2046
Phone (626) 817-6665

Other practice location 1

33 S Catalina Ave
Suite 204
Pasadena, CA 91106-2426
Phone (626) 817-6665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170822003619 CA Part B Supplier - Clinic/Group Practice 3072885219 Receives reassigned benefits from 2 practitioners
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

33 S Catalina Ave
Ste 204
Pasadena, CA 91106
Phone (626) 676-8056

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972040095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE STE 707",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012046",
            "telephone_number": "626-817-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE STE 707",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012046",
            "telephone_number": "626-817-6665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 S Catalina Ave",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911062426",
            "country_code": "US",
            "telephone_number": "626-817-6665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEAL INC A PROFESSIONAL PSYCHOLOGICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LABRIE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-755-1825",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28600",
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.