Provider Demographics
NPI:1659607737
Name:HIX, CARLA SCHMIDT (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:SCHMIDT
Last Name:HIX
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 S LAKE AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3006
Mailing Address - Country:US
Mailing Address - Phone:626-602-6442
Mailing Address - Fax:
Practice Address - Street 1:40 N ALTADENA DR
Practice Address - Street 2:SUITE 200A
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3386
Practice Address - Country:US
Practice Address - Phone:626-602-6442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17225103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist