LUIS ANTONIO BECERRA PSYD NPI 1902155997

NPI Information

NPI: 1902155997
Provider Name: LUIS ANTONIO BECERRA, PSYD
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

Address:
525 CABRILLO PARK DR STE 300
SANTA ANA, CA
ZIP 92701
Phone: (714) 953-4455
Get Directions

Luis Antonio Becerra, PSYD is a clinical child and adolescent psychologist in Santa Ana, 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. Luis Antonio Becerra, PSYD NPI is 1902155997. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

525 CABRILLO PARK DR STE 300
SANTA ANA, CA
ZIP 92701
Phone: (714) 953-4455
Fax: (714) 542-2793

The enumeration date for this NPI number is 9/5/2012 and was last updated on 1/3/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225C00000X	Rehabilitation Counselor				No
2	103TC2200X	Psychologist	Clinical Child & Adolescent			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7420	MEDICAID	CALIFORNIA
2	7068	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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