Active NPI
RR&C. a Psychological Corporation
- Clinical Psychologist
- Lake Forest, CA
National Provider Identifier
1083309306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- RR&C. A PSYCHOLOGICAL CORPORATION
- Doing business as
- Mind Body Corazon
Restoring Roots & Cultura - Practice address
- 22996 El Toro Rd Ste 103
Lake Forest, CA 92630-4961 - Phone
- (949) 942-1991
- Fax
- (949) 942-1969
- NPI assigned
- Apr 11, 2023
- Organization subpart
- Yes
- Parent organization
- RR&C. A PSYCHOLOGICAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susana Ortiz Salgado, PH.D.
- Title
- Ceo
- Phone
- (949) 942-1991
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
22996 El Toro Rd Ste 103
Lake Forest, CA 92630-4961
Mailing address
22996 El Toro Rd Ste 103
Lake Forest, CA 92630-4961
Phone (949) 942-1991
Other names 2
- Mind Body Corazon
- Restoring Roots & Cultura
National Provider Directory
National Provider Directory- Part of
- RRC a Psychological Corporation
Locations
22996 El Toro Rd
Ste 103
Lake Forest, CA 92630
Phone (949) 942-1991
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Lake Forest, CA
- NPI 1093273013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681171200000",
"number": "1083309306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22996 EL TORO RD STE 103",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926304961",
"telephone_number": "949-942-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22996 EL TORO RD STE 103",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926304961",
"telephone_number": "949-942-1991",
"fax_number": "949-942-1969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RR&C. A PSYCHOLOGICAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RR&C. A PSYCHOLOGICAL CORPORATION",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A",
"authorized_official_last_name": "SALGADO",
"authorized_official_first_name": "SUSANA",
"authorized_official_middle_name": "ORTIZ",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-942-1991",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mind Body Corazon",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Restoring Roots & Cultura",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.