Organization · Type 2 NPI

Prototypes Centers for Innovation In Health, Mental Health and Social

Adult Mental Health Clinic/Center · Pasadena, CA

NPI number 1134421365 Active

Practice location

40 N Altadena Dr, Suite 1B
Pasadena, CA 91107-3386

Call (626) 792-2812 Map

Fax (626) 356-4438

Mailing address

1000 N Alameda St, Suite 390
Los Angeles, CA 90012-1804

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

7 other providers at this address

Other adult mental health clinic/center providers in Pasadena

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NPI record

NPI: 1134421365
Entity type: Organization (Type 2)
Issued: Nov 19, 2010
Last updated: Mar 9, 2011
Status: Active

Other names

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Prototypes Centers for Innovation In Health, Mental Health and Social · other name

Authorized official

Cassandra Loch, LCSW, MBA
President, CEO
(213) 542-3838

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1134421365

Prototypes Centers for Innovation In Health, Mental Health and Social's National Provider Identifier is 1134421365, issued on Nov 19, 2010. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Pasadena, CA. The record was last updated on Mar 9, 2011.