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OPTIMAL MIND INSTITUTE NPI 1700423472


NPI Information

NPI: 1700423472
Provider Name: OPTIMAL MIND INSTITUTE
Classification: Psychologist - 103TP2701X
Entity Type: Organization

Specialization: Group Psychotherapy

Address:
630 S. RAYMOND AVE
SUITE 310
PASADENA, CA
ZIP 91105
Phone: (626) 765-3518
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OPTIMAL MIND INSTITUTE is a group psychotherapy psychologist in Pasadena, CA. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. OPTIMAL MIND INSTITUTE NPI is 1700423472. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

630 S. RAYMOND AVE
SUITE 310
PASADENA, CA
ZIP 91105-206
Phone: (626) 765-3518
Fax: (626) 765-3532

The provider's authorized official is Roxanne Rena Prilutsky .
The authorized official title is Ceo and has the following contact phone number (626) 765-3518.

The enumeration date for this NPI number is 12/2/2019 and was last updated on 1/8/2020.


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
1103TP2701XPsychologistGroup PsychotherapyYes

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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