Healthcare Provider Details

I. General information

NPI: 1659566743
Provider Name (Legal Business Name): ALEX SCHMIDT PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 11/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 E GREEN ST STE 203
PASADENA CA
91106-2401
US

IV. Provider business mailing address

685 BELVIDERE ST
PASADENA CA
91104-3718
US

V. Phone/Fax

Practice location:
  • Phone: 323-841-1293
  • Fax:
Mailing address:
  • Phone: 323-841-1293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number30426
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: