JW PSYCHOLOGICAL SERVICES INC NPI 1558268052

NPI Information

  • NPI: 1558268052
  • Provider Name: JW PSYCHOLOGICAL SERVICES INC
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Organization
  • :
  • Address: 1122 BRISTOL ST. SUITE 100
    COSTA MESA, CA
    ZIP 92626
  • Phone: (949) 264-8000

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NPI Details

JW PSYCHOLOGICAL SERVICES INC is a clinical child and adolescent psychologist in Costa Mesa, 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. JW PSYCHOLOGICAL SERVICES INC NPI is 1558268052. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1122 BRISTOL ST. SUITE 100
COSTA MESA, CA
ZIP 92626
Phone: (949) 264-8000
Fax: (949) 432-4146

The provider's authorized official is Jerry Welchman .
The authorized official title is President and has the following contact phone number (949) 264-8000.

The enumeration date for this NPI number is 10/20/2026 and was last updated on 10/20/2026.

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
1103TC2200XPsychologistClinical Child & AdolescentYes
2104100000XSocial WorkerNo
3106H00000XMarriage & Family TherapistNo

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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