| Dr Blake Barber, PSYD | |
|
1145 Garfield Ave, South Pasadena, CA 91030-3421 | |
| (626) 539-9266 | |
| Not Available |
| Full Name | Dr Blake Barber |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 1145 Garfield Ave, South Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740842848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY30869 (California) | Primary |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blake Barber, PSYD 1145 Garfield Ave, South Pasadena, CA 91030-3421 Ph: (626) 539-9266 | Dr Blake Barber, PSYD 1145 Garfield Ave, South Pasadena, CA 91030-3421 Ph: (626) 539-9266 |
Dr. Mina Grigoryan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1515 Hope St Ste 202, South Pasadena, CA 91030 Phone: 818-473-0970 | |
Dr. Manny Burgess, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1910 Huntington Dr, South Pasadena, CA 91030 Phone: 626-441-6111 Fax: 626-441-6389 | |
Dr. Matthew Grant Calkins, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1515 Hope St Ste 202, South Pasadena, CA 91030 Phone: 213-595-5832 | |
Dr. Darshana U. Lele, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 719 Fremont Ave, South Pasadena, CA 91030 Phone: 626-594-5353 Fax: 888-384-0984 | |
Dr. Gabrielle Ducsay, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1015 Fremont Ave, South Pasadena, CA 91030 Phone: 424-239-9470 | |
Dr. Lisa Staab Shadburn, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 630 Mission St, Suite C2, South Pasadena, CA 91030 Phone: 626-403-3040 | |
Ms. Janet Marie Kelley, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1605 Hope Street, Suite 210, South Pasadena, CA 91030 Phone: 626-799-6771 |