Provider Demographics
NPI:1528270675
Name:ARROYO PSYCHOLOGICAL GROUP
Entity type:Organization
Organization Name:ARROYO PSYCHOLOGICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:626-458-5444
Mailing Address - Street 1:1961 W HUNTINGTON DR STE 202
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-1222
Mailing Address - Country:US
Mailing Address - Phone:626-458-5444
Mailing Address - Fax:462-645-8067
Practice Address - Street 1:1961 W HUNTINGTON DR STE 202
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-1222
Practice Address - Country:US
Practice Address - Phone:626-458-5444
Practice Address - Fax:462-645-8067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
102L00000X, 103TB0200X, 103TC0700X, 103TC2200X, 103TP0814X, 106H00000X
CAPSY 5298103T00000X
CAPSY 5896103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
Not Answered103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysisGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty