Organization · Type 2 NPI
Divergent Shades
Mental Health Clinic/Center (Including Community Mental Health Center) · South Pasadena, CA
NPI number
1942005830
Active
Practice location
625 Fair Oaks Ave Ste 358
South Pasadena, CA 91030-5812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | None listed |
| Counseling Psychologist | 103TC1900X | None listed |
| Clinical Child & Adolescent Psychologist | 103TC2200X | None listed |
| School Psychologist | 103TS0200X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
Other mental health clinic/center (including community mental health center) providers in South Pasadena
- Los Angeles County Department of Mental HealthMental Health Clinic/Center (Including Community Mental Health Center) South Pasadena, CA NPI 1285648832
- Los Angeles County Department of Mental HealthMental Health Clinic/Center (Including Community Mental Health Center) South Pasadena, CA NPI 1346006418
About NPI 1942005830
Divergent Shades's National Provider Identifier is 1942005830, issued on Feb 15, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in South Pasadena, CA. The record was last updated on Feb 15, 2025.