ANTON PETRENKO PHD NPI 1053689786

NPI Information

  • NPI: 1053689786
  • Provider Name: ANTON PETRENKO, PHD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 1201 W LA VETA AVE
    ORANGE, CA
    ZIP 92868
  • Phone: (714) 509-3792

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NPI Details

Anton Petrenko, PHD is a clinical psychologist in Orange, CA. The provider is 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. Anton Petrenko, PHD NPI is 1053689786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1201 W LA VETA AVE
ORANGE, CA
ZIP 92868-203
Phone: (714) 509-3792
Fax: (855) 246-2329

The enumeration date for this NPI number is 12/8/2011 and was last updated on 12/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family TherapistNo
2103TC0700XPsychologistClinicalPSY33579CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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