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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIVERGENT SHADES

Active Organization

DIVERGENT SHADES is a Mental Health Clinic organization located in SOUTH PASADENA, California. NPI 1942005830 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · SOUTH PASADENA, CA

Registration Details

NPI Number
1942005830
Provider Type
Organization
NPI Issued
Feb 15, 2025 (1.5244522036127 yrs)
Last Updated
Feb 15, 2025

Practice Information

Address
625 FAIR OAKS AVE STE 358
SOUTH PASADENA, CA, 910305812
Browse CA providers · Browse ZIP 91030
Phone
6264606012
Primary Specialty
Mental Health Clinic
261QM0801X
Additional Specialty
Child, Clinical Psychologist
Additional Specialty
School Psychologist
Additional Specialty
Clinical Social Worker

Other Mental Health Clinic Organizations in SOUTH PASADENA, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.