Organization Active NPI

Suncoast Preparatory Academy Dba Suncoast Charter School

  • Psychologist
  • Anaheim, CA
National Provider Identifier
1043058043
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SUNCOAST PREPARATORY ACADEMY DBA SUNCOAST CHARTER SCHOOL
Practice address
4761 E Hunter Ave
Anaheim, CA 92807-1940
Phone
(949) 994-6724
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Recel Casuncad
Title
Student Services Manager
Phone
(661) 874-8675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

4761 E Hunter Ave
Anaheim, CA 92807-1940

Mailing address

3857 Birch St # 297
Newport Beach, CA 92660-2616
Phone (661) 874-8675

National Provider Directory

National Provider Directory

Locations

4761 E Hunter Ave
Anaheim, CA 92807
Phone (949) 994-6724

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1043058043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 BIRCH ST # 297",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602616",
            "telephone_number": "661-874-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 E HUNTER AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071940",
            "telephone_number": "949-994-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST PREPARATORY ACADEMY DBA SUNCOAST CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "CASUNCAD",
        "authorized_official_first_name": "RECEL",
        "authorized_official_title_or_position": "STUDENT SERVICES MANAGER",
        "authorized_official_telephone_number": "661-874-8675"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.