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PANNELL PSYCHOLOGICAL SERVICES NPI 1295947240


NPI Information

NPI: 1295947240
Provider Name: PANNELL PSYCHOLOGICAL SERVICES
Classification: Psychologist - 103TA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1245 W HUNTINGTON DR STE 105
ARCADIA, CA
ZIP 91007
Phone: (626) 568-2949
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PANNELL PSYCHOLOGICAL SERVICES is an addiction (substance use disorder) psychologist in Arcadia, CA. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. PANNELL PSYCHOLOGICAL SERVICES NPI is 1295947240. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1245 W HUNTINGTON DR STE 105
ARCADIA, CA
ZIP 91007-616
Phone: (626) 568-2949

The provider's authorized official is Philip Pannell .
The authorized official title is Ceo and has the following contact phone number (626) 568-2949.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)PSY11827CALIFORNIAYes
2103TA0700XPsychologistAdult Development & AgingPSY11827CALIFORNIAX
3103TB0200XPsychologistCognitive & BehavioralPSY11827CALIFORNIAX
4103TC0700XPsychologistClinicalPSY11827CALIFORNIAX
5103TC2200XPsychologistClinical Child & AdolescentPSY11827CALIFORNIAX
6103TF0000XPsychologistFamilyPSY11827CALIFORNIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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