| Psychological Health And Wellness Inc | |
|
595 E Colorado Blvd Ste 409 Pasadena CA 91101-2018 | |
| (626) 540-2125 | |
| Not Available |
| Full Name | Psychological Health And Wellness Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 595 E Colorado Blvd Ste 409, Pasadena, California |
| Authorized Official Name and Position | Jennifer Fang Hsia (OWNER) |
| Authorized Official Contact | 6265402125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Health And Wellness Inc 330 Cordova St Unit 385 Pasadena CA 91101-4610 Ph: (626) 372-2799 | Psychological Health And Wellness Inc 595 E Colorado Blvd Ste 409 Pasadena CA 91101-2018 Ph: (626) 540-2125 |
| NPI Number | 1275166472 |
|---|---|
| Provider Enumeration Date | 02/16/2020 |
| Last Update Date | 04/01/2020 |
| Certification Date | 04/01/2020 |
| Medicare PECOS PAC ID | 2961833413 |
|---|---|
| Medicare Enrollment ID | O20200516000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275166472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jennifer Fang Hsia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306479795 PECOS PAC ID: 3870924327 Enrollment ID: I20200516000100 |
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