DR. CAROL POVENMIRE PH.D.
NPI 1194878165
Psychologist in Pasadena, CA

Active since January 20, 2007Opted out of Medicare · through Jan 1, 2028
960 E GREEN ST, SUITE 290, PASADENA, CA 91106(626) 355-2630 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Carol Povenmire Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAROL POVENMIRE PH.D. (NPI 1194878165) is an individual psychologist in Pasadena, California, licensed in California (PSY10257) and active in the NPI registry since January 2007. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194878165
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CAROL POVENMIRECredential: PH.D.
Location Address960 E GREEN ST, SUITE 290Pasadena, CA 91106-2401
Mailing AddressPo Box 295Sierra Madre, CA 91025-0295 · (626) 355-2630
Sole ProprietorYes
Enumeration DateJanuary 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1194878165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY10257
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
960 E GREEN ST, Pasadena, CA 91106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Carol Povenmire Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
960 E GREEN ST, SUITE 101
PASADENA, CA 91106
Clinic/Center (Ambulatory Surgical)
960 E GREEN ST, SUITE 110
PASADENA, CA 91106
Dermatology (MOHS-Micrographic Surgery)
960 E GREEN ST, STE 330
PASADENA, CA 91106
Pediatrics
960 E GREEN ST, SUITE 109
PASADENA, CA 91106
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
960 E GREEN ST, #101
PASADENA, CA 91106
Plastic Surgery
960 E GREEN ST, SUITE 168
PASADENA, CA 91106
Marriage & Family Therapist
960 E GREEN ST, #112
PASADENA, CA 91106
Chiropractor
960 E GREEN ST, SUITE L-3
PASADENA, CA 91106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Povenmire's NPI number?

The NPI number for Carol Povenmire is 1194878165. It was assigned to this individual provider in the NPPES registry on January 20, 2007.

Where is Carol Povenmire located?

Carol Povenmire practices at 960 E Green St Suite 290, Pasadena, CA 91106. The listed phone number is (626) 355-2630.

What is Carol Povenmire's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Carol Povenmire enrolled in Medicare?

No. Carol Povenmire has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carol Povenmire was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.