Provider Type Icon

CHILDREN'S HOSPITAL OF ORANGE COUNTY NPI 1659918852


NPI Information

NPI: 1659918852
Provider Name: CHILDREN'S HOSPITAL OF ORANGE COUNTY
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
170 S MAIN ST
ORANGE, CA
ZIP 92868
Phone: (714) 288-7651
Get Directions

CHILDREN'S HOSPITAL OF ORANGE COUNTY is a clinical child and adolescent psychologist in Orange, 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. CHILDREN'S HOSPITAL OF ORANGE COUNTY NPI is 1659918852. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

170 S MAIN ST
ORANGE, CA
ZIP 92868-801
Phone: (714) 288-7651
Fax: (714) 288-7379

The provider's authorized official is Mark Kelly .
The authorized official title is Director, Revenue Cycle Support and has the following contact phone number (714) 509-7861.

The enumeration date for this NPI number is 12/6/2019 and was last updated on 12/6/2019.


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
3103TC2200XPsychologistClinical Child & AdolescentYes
42084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
52084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
6106E00000XAssistant Behavior AnalystNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11093102766MEDICAIDCALIFORNIA

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: 11/14/2023

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.