Active NPI
Mollie Jung, PSY.D.
- Psychologist
- Pasadena, CA
National Provider Identifier
1992220271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 33119
- Practice address
- 181 N Oak Knoll Ave Ste 1
Pasadena, CA 91101-4171 - Phone
- (626) 225-2510
- NPI assigned
- Aug 8, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 33119 | CA | Primary |
Addresses
Primary practice location
181 N Oak Knoll Ave Ste 1
Pasadena, CA 91101-4171
Mailing address
913 E Walnut St
Pasadena, CA 91106-1720
Phone (626) 225-2510
Other practice location 1
913 E Walnut St
Pasadena, CA 91106-1720
Phone (626) 225-2510
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrea Davis, PH.D., Clinical Psychology, Inc. | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Pasadena, CA
- NPI 1407159619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1992220271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 E WALNUT ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061720",
"telephone_number": "626-225-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 N OAK KNOLL AVE STE 1",
"city": "PASADENA",
"state": "CA",
"postal_code": "911014171",
"telephone_number": "626-225-2510"
}
],
"practiceLocations": [
{
"address_1": "913 E Walnut St",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911061720",
"country_code": "US",
"telephone_number": "626-225-2510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNG",
"first_name": "MOLLIE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "33119",
"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 Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.