Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gary Lee Vidor, PHD

Individual provider Psychologist · NPI 1902872872

Dr. Gary Lee Vidor, PHD is a Clinical Psychologist in Pasadena, California. Qualified in 1975, 51 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
51
Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

50 N Hill Ave Ste 202
Pasadena, CA 91106-1949
Phone: (626) 739-8388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY 5219 (CA)

Record details

NPI number1902872872
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 28, 2006
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address21 Hidden Valley Rd Ste 10, Monrovia, CA 91016-1601

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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