| Orange Coast Psychological Associates, P.c. | |
|
10061 Talbert Ave Suite 200 Fountain Valley CA 92708-5159 | |
| (714) 655-0410 | |
| Not Available |
| Full Name | Orange Coast Psychological Associates, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10061 Talbert Ave, Fountain Valley, California |
| Authorized Official Name and Position | Tracy Anne Mason (PRESIDENT) |
| Authorized Official Contact | 7146550410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Coast Psychological Associates, P.c. 10061 Talbert Ave Suite 200 Fountain Valley CA 92708-5159 Ph: (714) 655-0410 | Orange Coast Psychological Associates, P.c. 10061 Talbert Ave Suite 200 Fountain Valley CA 92708-5159 Ph: (714) 655-0410 |
| NPI Number | 1679911085 |
|---|---|
| Provider Enumeration Date | 06/07/2013 |
| Last Update Date | 06/07/2013 |
| Medicare PECOS PAC ID | 7810120599 |
|---|---|
| Medicare Enrollment ID | O20140503000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679911085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY20438 (California) | Primary |
| Provider Name | Tracy A Mason |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811947310 PECOS PAC ID: 4284739848 Enrollment ID: I20070410000720 |
| Provider Name | Judith Willhide James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205175106 PECOS PAC ID: 3375782311 Enrollment ID: I20130624000009 |
| Provider Name | Norrette T Lohr-thierry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063445609 PECOS PAC ID: 5092849372 Enrollment ID: I20141006001305 |
| Provider Name | Sun Ah Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508149030 PECOS PAC ID: 2163747478 Enrollment ID: I20150209001039 |
| Provider Name | Farshid Yadegar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447774534 PECOS PAC ID: 8628312352 Enrollment ID: I20181226000739 |
| Provider Name | Lacey Trent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538593322 PECOS PAC ID: 5799106696 Enrollment ID: I20200602000219 |
| Provider Name | Adam S Wiswell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932603081 PECOS PAC ID: 6608282637 Enrollment ID: I20210317000137 |
| Provider Name | Ji Yun Nam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982159349 PECOS PAC ID: 1254748445 Enrollment ID: I20210512003085 |
| Provider Name | Michele Riggs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174615611 PECOS PAC ID: 3971905209 Enrollment ID: I20210709000676 |
| Provider Name | Ericka Mabel Juarez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609024876 PECOS PAC ID: 2365846326 Enrollment ID: I20210812002389 |
Cys Western Youth Services-west Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18350 Mount Langley St Ste 206, 215, 220, 200, Fountain Valley, CA 92708 Phone: 714-378-2620 Fax: 714-378-2631 | |
Moving Forward Psychological Institute, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17150 Newhope St Ste 205, Fountain Valley, CA 92708 Phone: 949-431-6374 | |
The New Beginning Fellowship Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16581 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-839-2515 Fax: 714-839-5501 | |
Lds Family Services Ca Fountain Valley Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17350 Mount Herrmann St, Suite A, Fountain Valley, CA 92708 Phone: 714-444-3463 Fax: 714-444-1768 | |
Milestones Behavioral Interventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10174 Durango River Ct, Fountain Valley, CA 92708 Phone: 323-868-8793 | |
Td & Sjc Wellness Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17150 Newhope St Ste 208, Fountain Valley, CA 92708 Phone: 253-686-2854 | |
William M. Young, M.d. A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11770 Warner Ave, Suite 226, Fountain Valley, CA 92708 Phone: 241-241-8560 Fax: 714-241-8576 |