| Optimal Mind Institute | |
|
630 S. Raymond Ave Suite 310 Pasadena CA 91105-3206 | |
| (626) 765-3518 | |
| (626) 765-3532 |
| Full Name | Optimal Mind Institute |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 630 S. Raymond Ave, Pasadena, California |
| Authorized Official Name and Position | Roxanne Rena Prilutsky (CEO) |
| Authorized Official Contact | 6267653518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Mind Institute 630 S. Raymond Ave Suite 310 Pasadena CA 91105-3206 Ph: (626) 765-3518 | Optimal Mind Institute 630 S. Raymond Ave Suite 310 Pasadena CA 91105-3206 Ph: (626) 765-3518 |
| NPI Number | 1700423472 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 01/08/2020 |
| Certification Date | 01/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700423472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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