Senior Neuropsychology Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SENIOR NEUROPSYCHOLOGY INC

Practice address

23046 Avenida de la Carlota Ste 600
Laguna Hills, CA 92653-1537

Phone

(949) 517-8342

Fax

(949) 739-3247

NPI assigned

Aug 25, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Mitolo, PSYD

Title

President/Psychologist

Phone

(949) 517-8342

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1003723271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23046 AVENIDA DE LA CARLOTA STE 600",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531537",
            "telephone_number": "949-517-8342",
            "fax_number": "949-739-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23046 AVENIDA DE LA CARLOTA STE 600",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531537",
            "telephone_number": "949-517-8342",
            "fax_number": "949-739-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR NEUROPSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "MITOLO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "949-517-8342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.