Pasadena Clinical Group, A Psychology Corporation | |
595 E Colorado Blvd Ste 428 Pasadena CA 91101-2058 | |
(626) 354-6440 | |
(805) 456-5547 |
Full Name | Pasadena Clinical Group, A Psychology Corporation |
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Speciality | Psychologist |
Location | 595 E Colorado Blvd Ste 428, Pasadena, California |
Authorized Official Name and Position | Vincenzo Israel Piccirillo (PSYCHOLOGIST) |
Authorized Official Contact | 6263546440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pasadena Clinical Group, A Psychology Corporation Po Box 5581 Pasadena CA 91117-0581 Ph: (626) 354-6440 | Pasadena Clinical Group, A Psychology Corporation 595 E Colorado Blvd Ste 428 Pasadena CA 91101-2058 Ph: (626) 354-6440 |
NPI Number | 1790213247 |
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Provider Enumeration Date | 05/29/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 6002180577 |
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Medicare Enrollment ID | O20170921002169 |
Identifier | Type | State | Issuer |
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1790213247 | NPI | - | NPPES |
Provider Name | Vincenzo Piccirillo |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1275943078 PECOS PAC ID: 3072812478 Enrollment ID: I20160506001203 |
Provider Name | Deborah Fujimoto |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851545404 PECOS PAC ID: 6002214228 Enrollment ID: I20211001001346 |
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