Stuart Kirschbaum, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY12071 Issued in CA

Practice address

27001 La Paz Rd
Suite 418
Mission Viejo, CA 92691-5502

Phone

(949) 215-2500

Fax

(949) 203-8686

NPI assigned

Jun 15, 2006

Last updated

Jan 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Behavioral Care, Inc. a Psychological Corporation

  • Psychologist
  • Mission Viejo, CA
  • NPI 1306941596
  NPD (past) Authorized official

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1073557476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD",
            "address_2": "SUITE 418",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-215-2500",
            "fax_number": "949-203-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD",
            "address_2": "SUITE 418",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-215-2500",
            "fax_number": "949-203-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHBAUM",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Michael Kirchner, D.C.
• Georg Kiriak, D.D.S.
• Alex Jesse Kirkpatrick, PT, DPT
• Peggy Kirkwood, RN,NP
• Deborah Lynn Kirschbaum, PH.D.
• Matthew Charles Kirsten, DPT
• Lauren L Kiscaden, PA
• Heidi Kitsu
• KL Psychological Services, Inc.
• Evan Andrew Klassen

• Clinical Psychologist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.