Provider Demographics
NPI: | 1659500569 |
---|---|
Name: | ORANGE COUNTY HEALTH & PSYCHOLOGY ASSOCIATES |
Entity type: | Organization |
Organization Name: | ORANGE COUNTY HEALTH & PSYCHOLOGY ASSOCIATES |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LEILI |
Authorized Official - Middle Name: | SAHRAI |
Authorized Official - Last Name: | ARTIN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PHD |
Authorized Official - Phone: | 949-551-4272 |
Mailing Address - Street 1: | 62 DISCOVERY STE 100 |
Mailing Address - Street 2: | |
Mailing Address - City: | IRVINE |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 92618-3143 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 949-551-4272 |
Mailing Address - Fax: | 949-551-6406 |
Practice Address - Street 1: | 62 DISCOVERY STE 100 |
Practice Address - Street 2: | |
Practice Address - City: | IRVINE |
Practice Address - State: | CA |
Practice Address - Zip Code: | 92618-3143 |
Practice Address - Country: | US |
Practice Address - Phone: | 949-551-4272 |
Practice Address - Fax: | 949-551-6406 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-07-13 |
Last Update Date: | 2025-07-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | A72231 MD | 101YM0800X |
CA | PSY22590 | 101YP2500X |
103T00000X, 103TB0200X, 103TP2701X, 2084P0802X, 261QM0850X, 261QM1300X, 261QR0401X, 261QM0801X | ||
CA | MFC#27509 | 103TA0700X |
CA | MFT34972 | 103TC2200X |
CA | MFT#42837 | 106H00000X |
CA | R553289 | 133V00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging | Group - Multi-Specialty |
No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | Group - Multi-Specialty |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Multi-Specialty |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
No | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | Group - Multi-Specialty | |
No | 2084P0802X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Addiction Psychiatry | Group - Multi-Specialty |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | Group - Multi-Specialty |
No | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | Group - Multi-Specialty |
No | 261QR0401X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |