Dr Jade Star Fewell, PSYDASSISTANT - Counselor in Costa Mesa, CA

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Dr Jade Star Fewell, PSYDASSISTANT is a Psychologist based in Costa Mesa, California. Dr Jade Star Fewell is licensed to practice in California (license number 94026429) and her current practice location is 3151 Airway Ave Ste J2, Costa Mesa, California. She can be reached at her office (for appointments etc.) via phone at (949) 702-4677.

NPI number for Dr Jade Star Fewell is 1780347237 and her current mailing address is Po Box 1946, Laguna Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780347237.

Contact Information

Dr Jade Star Fewell, PSYDASSISTANT
3151 Airway Ave Ste J2,
Costa Mesa, CA 92626-4624
(949) 702-4677
Not Available

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Healthcare Provider's Profile

Full NameDr Jade Star Fewell
GenderFemale
SpecialityPsychologist
Location3151 Airway Ave Ste J2, Costa Mesa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780347237
  • Provider Enumeration Date: 10/20/2021
  • Last Update Date: 12/26/2021

Medical Identifiers

Medical identifiers for Dr Jade Star Fewell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780347237NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 15155 (California)Secondary
103T00000XPsychologist 94026429 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jade Star Fewell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jade Star Fewell, PSYDASSISTANT
Po Box 1946,
Laguna Beach, CA 92652-1946

Ph: (949) 702-4677		Dr Jade Star Fewell, PSYDASSISTANT
3151 Airway Ave Ste J2,
Costa Mesa, CA 92626-4624

Ph: (949) 702-4677

Reviews and Comments


Psychologist in Costa Mesa, CA


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