DR. GEORGE STEPHEN BERMUDEZ PH.D.
NPI 1568589059
Psychologist - Clinical in Pasadena, CA

Q: What is George Bermudez's NPI number?

The NPI number for George Bermudez is 1568589059. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Q: What is George Bermudez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is George Bermudez enrolled in Medicare?

No. George Bermudez has opted out of Medicare through May 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for George Bermudez 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.

Active since March 22, 2007Opted out of Medicare · through May 6, 2028

97 W BELLEVUE DR, PASADENA, CA 91105(626) 296-1894 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. George Stephen Bermudez Ph.d. NPPES

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

DR. GEORGE STEPHEN BERMUDEZ PH.D. (NPI 1568589059) is an individual clinical provider in Pasadena, California, licensed in California (PSY 14014) and active in the NPI registry since March 2007. He has opted out of Medicare through May 6, 2028.

NPPES Registry Identity

NPI1568589059

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. GEORGE STEPHEN BERMUDEZCredential: PH.D.

Location Address97 W BELLEVUE DRPasadena, CA 91105-2501

Mailing Address508 Concha StAltadena, CA 91001-1415 · (626) 296-1894

Phone(626) 296-1894

Sole ProprietorYes

Enumeration DateMarch 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1568589059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY 14014

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

97 W BELLEVUE DR, Pasadena, CA 91105

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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. George Stephen Bermudez 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 May 6, 2022 through May 6, 2028.

Opt-Out Effective DateMay 6, 2022

Opt-Out In Effect ThroughMay 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

DR. TOSHIAKI UDO PH.D.

Psychologist (Clinical)

97 W BELLEVUE DR, SUITE 1
PASADENA, CA 91105

Los Angeles County (626) 282-5744

ELVIRA MUNOZ L.C.S.W.

Social Worker (Clinical)