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Deactivated NPI 1164624862 Deactivated / Inactive NPI Female Practitioner

Dr. Judith Ellen Vida , MD

Psychoanalyst • Pasadena, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Judith Vida has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 04, 2007
NPI Deactivation Date July 28, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Judith Vida, MD was a registered Psychoanalyst practicing in Pasadena, CA. Throughout an active medical career spanning 15 years, Dr. Vida provided care at the practice location at 301 S FAIR OAKS AVE until profile deactivation on 2022-07-28.

Practice Location & Contact Primary Location

Practice Address

301 S Fair Oaks Ave
Suite 406a

Pasadena, CA 911052561

Telephone 6267967572
Fax 8183535837
Associated Practice Facility / Clinic
🏢 Paul P. Shinto, D.d.s., Inc. Facility NPI 1548234594

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychoanalyst in Pasadena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 51.5 Yrs
Regional Practice Density
15 Specialists

Practicing in Pasadena, CA (193 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychoanalyst Primary Specialty

NUCC Taxonomy Code: 102L00000X

State License CA G19485

Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Kay Dabler , SLP

Speech-Language Pathologist

NPI 1003138199

Speech-Language Pathologist

Dr. Bert Funatsu , DDS

Dentist - General Practice

NPI 1245332097

Doctor of Dental Surgery

Ma Sofia De Castro , PT

Physical Therapist

NPI 1376737593

Physical Therapist

NPI 1457496770

Doctor of Medicine (M.D.)

Elinor Peters , NP

Nurse Practitioner - Family

NPI 1508827486

Nurse Practitioner

Dr. Paul Miller , MD

Counselor - Professional

NPI 1518166727

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated July 28, 2022

Record deactivated on July 28, 2022

NPI Profile Active January 10, 2018

NPI status registered as active in NPPES database

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Updated Practice Location January 10, 2018

Registered at 8234 MCGROARTY ST, SUNLAND, CA 910403246 (Tel: 6267967572)

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Updated Business Mailing Address January 10, 2018

Registered at 8234 MCGROARTY ST, SUNLAND, CA 910403246 (Tel: 6267967572)

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Provider Name / Credentials Updated January 10, 2018

Recorded as JUDITH VIDA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2018

Psychoanalyst (License #G19485 in CA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 301 S FAIR OAKS AVE, SUITE 406A, PASADENA, CA 911052561 (Tel: 6267967572)

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Updated Business Mailing Address July 08, 2007

Registered at 301 S FAIR OAKS AVE, SUITE 406A, PASADENA, CA 911052561 (Tel: 6267967572)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JUDITH VIDA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychoanalyst (License #G19485 in CA)

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Initial NPI Registration & Enumeration June 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164624862
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2007
Last Update: July 08, 2007
Deactivation Date: July 28, 2022

Mailing Address

301 S Fair Oaks Ave, Suite 406a

Pasadena, CA 911052561

Phone: 6267967572

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.