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CHILD AND ADOLESCENT BEHAVIORAL HEALTH CENTER NPI 1053835496


NPI Information

NPI: 1053835496
Provider Name: CHILD AND ADOLESCENT BEHAVIORAL HEALTH CENTER
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
17772 IRVINE BLVD STE 103
TUSTIN, CA
ZIP 92780
Phone: (714) 696-1385
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CHILD AND ADOLESCENT BEHAVIORAL HEALTH CENTER is a clinical child and adolescent psychologist in Tustin, CA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. CHILD AND ADOLESCENT BEHAVIORAL HEALTH CENTER NPI is 1053835496. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17772 IRVINE BLVD STE 103
TUSTIN, CA
ZIP 92780
Phone: (714) 696-1385
Fax: (888) 972-4028

The provider's authorized official is Luis F Morales Knight .
The authorized official title is Partner and has the following contact phone number (714) 696-1385.

The enumeration date for this NPI number is 7/27/2017 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2103TB0200XPsychologistCognitive & BehavioralNo
3103TC0700XPsychologistClinicalNo
4103TF0000XPsychologistFamilyNo
5103TH0100XPsychologistHealth ServiceNo
6103TC2200XPsychologistClinical Child & AdolescentYes

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: 4/28/2024

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