DIVERGENT SHADES
NPI 1942005830
Clinic/Center - Mental Health (Including Community Mental Health Center) in South Pasadena, CA

Active since February 15, 2025
625 FAIR OAKS AVE STE 358, SOUTH PASADENA, CA 91030(626) 460-6012 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divergent Shades NPPES

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

DIVERGENT SHADES (NPI 1942005830) is a healthcare organization registered as a mental health (including community mental health center) in South Pasadena, California and active in the NPI registry since February 2025. The organization lists Tara Ford Leufroy, Partner/owner/clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1942005830
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameDIVERGENT SHADES
Location Address625 FAIR OAKS AVE STE 358South Pasadena, CA 91030-5812
Mailing Address625 Fair Oaks Ave Ste 358South Pasadena, CA 91030-5812 · (626) 460-6012
Organization SubpartNo
Authorized OfficialTara Ford LeufroyPartner/owner/clinical Psychologist · (818) 369-9060
Enumeration DateFebruary 15, 2025
NPPES CertifiedFebruary 15, 2025
NPI 1942005830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · SchoolTaxonomy 103TS0200X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
625 FAIR OAKS AVE STE 358, South Pasadena, CA 91030

Other Identifiers 2

Other1891120085Tara Leufroy Npi
Other1467877134Stephanie Reiter Morrissey's Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Rehabilitation Practitioner
625 FAIR OAKS AVE STE 358
SOUTH PASADENA, CA 91030
Internal Medicine (Cardiovascular Disease)
625 FAIR OAKS AVE STE 358
S PASADENA, CA 91030

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 Divergent Shades's NPI number?

The NPI number for Divergent Shades is 1942005830. It was assigned to this organization in the NPPES registry on February 15, 2025.

Where is Divergent Shades located?

Divergent Shades is located at 625 Fair Oaks Ave Ste 358, South Pasadena, CA 91030. The listed phone number is (626) 460-6012.

What is Divergent Shades's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Divergent Shades was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.