PHOENIX HOUSE ORANGE COUNTY INC NPI 1225332802

NPI Information

  • NPI: 1225332802
  • Provider Name: PHOENIX HOUSE ORANGE COUNTY, INC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Other Name: CYS PHOENIX WRAPAROUND
  • Address: 1615 E. 17TH ST
    SUITE #100
    SANTA ANA, CA
    ZIP 92705
  • Phone: (714) 955-4042

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NPI Details

PHOENIX HOUSE ORANGE COUNTY, INC is an adolescent and children mental health clinic center in Santa Ana, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. PHOENIX HOUSE ORANGE COUNTY, INC NPI is 1225332802. The provider is registered as an organization entity type.
The provider Other Name Is Cys Phoenix Wraparound.

The provider's business location address is:

1615 E. 17TH ST
SUITE #100
SANTA ANA, CA
ZIP 92705
Phone: (714) 955-4042
Fax: (714) 541-7924

The provider's authorized official is Pouria Abbassi .
The authorized official title is Sen. Vice President and has the following contact phone number (818) 686-3000.

The enumeration date for this NPI number is 12/22/2010 and was last updated on 3/20/2013.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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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