| Southern California Tms Center Inc | |
|
180 S Lake Ave Suite 615 Pasadena CA 91101 | |
| (626) 683-9158 | |
| (626) 683-9207 |
| Full Name | Southern California Tms Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 S Lake Ave, Pasadena, California |
| Authorized Official Name and Position | Todd Mitchell Hutton (OWNER) |
| Authorized Official Contact | 6266839158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Tms Center Inc 180 S Lake Ave Suite 615 Pasadena CA 91101-2663 Ph: (626) 683-9158 | Southern California Tms Center Inc 180 S Lake Ave Suite 615 Pasadena CA 91101 Ph: (626) 683-9158 |
| NPI Number | 1275822751 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Medicare PECOS PAC ID | 8628430741 |
|---|---|
| Medicare Enrollment ID | O20230821003403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275822751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | G69246 (California) | Primary |
| Provider Name | Todd Hutton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760535959 PECOS PAC ID: 3274429386 Enrollment ID: I20110308000900 |
| Provider Name | Shameer Debnath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639310675 PECOS PAC ID: 5193188159 Enrollment ID: I20230824001569 |
| Provider Name | Angharad Ames |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467949727 PECOS PAC ID: 1658734421 Enrollment ID: I20230825002830 |
| Provider Name | Joshua Poole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346734928 PECOS PAC ID: 6507229044 Enrollment ID: I20230830003391 |
| Provider Name | Stephanie Debnath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548860166 PECOS PAC ID: 1759744238 Enrollment ID: I20230831000241 |
| Provider Name | Taylor Allen Smyth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477180917 PECOS PAC ID: 2567841687 Enrollment ID: I20240617001039 |
| Provider Name | Beverly Michelle Strunk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912361957 PECOS PAC ID: 5698208874 Enrollment ID: I20241025002892 |
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