| Clarity California Psychological Services, Inc | |
|
27281 Las Ramblas Ste 200 Mission Viejo CA 92691-8303 | |
| (949) 617-0252 | |
| Not Available |
| Full Name | Clarity California Psychological Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 27281 Las Ramblas Ste 200, Mission Viejo, California |
| Authorized Official Name and Position | Colleen Long (OWNER) |
| Authorized Official Contact | 9496170252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarity California Psychological Services, Inc 2 Pistoria Ln Ladera Ranch CA 92694-1508 Ph: (949) 617-0252 | Clarity California Psychological Services, Inc 27281 Las Ramblas Ste 200 Mission Viejo CA 92691-8303 Ph: (949) 617-0252 |
| NPI Number | 1316570005 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Medicare PECOS PAC ID | 8022438670 |
|---|---|
| Medicare Enrollment ID | O20201020001847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316570005 | NPI | - | NPPES |
| 1558662445 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Colleen Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558662445 PECOS PAC ID: 4183895741 Enrollment ID: I20110913000096 |
| Provider Name | Margarita Mclaughlin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992252530 PECOS PAC ID: 2163862319 Enrollment ID: I20240503003567 |
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