DEPTH PSYCHOTHERAPY CENTER A PROFESSIONAL PSYCHOLOGICAL CORPORA NPI 1154638450

NPI Information

  • NPI: 1154638450
  • Provider Name: DEPTH PSYCHOTHERAPY CENTER A PROFESSIONAL PSYCHOLOGICAL CORPORA
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 4199 CAMPUS DR.
    SUITE 550
    IRVINE, CA
    ZIP 92612
  • Phone: (949) 422-4488

Map and Directions

Get Directions

NPI Details

DEPTH PSYCHOTHERAPY CENTER A PROFESSIONAL PSYCHOLOGICAL CORPORA is a clinical psychologist in Irvine, 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. DEPTH PSYCHOTHERAPY CENTER A PROFESSIONAL PSYCHOLOGICAL CORPORA NPI is 1154638450. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4199 CAMPUS DR.
SUITE 550
IRVINE, CA
ZIP 92612
Phone: (949) 422-4488
Fax: (949) 640-2255

The provider's authorized official is Sherri Mahdavi .
The authorized official title is Owner and has the following contact phone number (949) 422-4488.

The enumeration date for this NPI number is 9/8/2010 and was last updated on 7/1/2020.

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
1103TC0700XPsychologistClinicalPSY21506CALIFORNIAYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.