NPI 1740245489 · live from the CMS NPI Registry
A Corporate Referral Center INC
Psychologist in Pasadena, CA. National Provider Identifier 1740245489, active.
NPI record
| NPI | 1740245489 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 3770 Mayfair Dr, Pasadena, CA 91107 |
| Practice phone | 661-904-0177 |
| Enumerated | April 18, 2006 |
| Last updated | January 26, 2015 |
| Authorized official | Edward Reed, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | PSY9584 (CA) |
| Marriage & Family Therapist | 106H00000X | MI5574 (CA) |
| Psychologist primary | 103T00000X | SPY9584 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.