Organization Active NPI

Orange County Center for Psychotherapy and Counseling

  • Adult Mental Health Clinic/Center
  • Fullerton, CA
National Provider Identifier
1023349305
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PSY10754 Issued in CA
Legal business name
ORANGE COUNTY CENTER FOR PSYCHOTHERAPY AND COUNSELING
Practice address
213 N Pomona Ave
Fullerton, CA 92832-1926
Phone
(714) 447-8011
Fax
(714) 871-2203
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Dr. Robert L Whitcomb, PSYDNPI 1124204920
Title
President
Phone
(714) 447-8011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PSY10754 CA Primary

Addresses

Primary practice location

213 N Pomona Ave
Fullerton, CA 92832-1926

Mailing address

213 N Pomona Ave
Fullerton, CA 92832-1926
Phone (714) 447-8011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100127000253 CA Part B Supplier - Clinic/Group Practice 1153463369 Receives reassigned benefits from 1 practitioner
Practice locations: Fullerton, CA

National Provider Directory

National Provider Directory

Locations

213 N Pomona Ave
Fullerton, CA 92832
Phone (562) 587-3851

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1023349305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N POMONA AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321926",
            "telephone_number": "714-447-8011",
            "fax_number": "714-871-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N POMONA AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321926",
            "telephone_number": "714-447-8011",
            "fax_number": "714-871-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY CENTER FOR PSYCHOTHERAPY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "WHITCOMB",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-447-8011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "PSY10754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.