Active NPI
Suncoast Preparatory Academy Dba Suncoast Charter School
- Psychologist
- Anaheim, CA
National Provider Identifier
1043058043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryLocations
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.