NPIMap

Organization Active NPI

Latino Psychological and Social Services

  • Psychologist
  • Santa Ana, CA
National Provider Identifier
1083623516
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY13614 Issued in CA
Legal business name
LATINO PSYCHOLOGICAL AND SOCIAL SERVICES
Practice address
120 W 5TH St
Ste300
Santa Ana, CA 92701-4641
Phone
(714) 834-0757
Fax
(714) 834-0848
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patricia LazaldeNPI 1932214368
Title
President
Phone
(714) 834-0757

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY13614 CA Primary

Addresses

Primary practice location

120 W 5TH St
Ste300
Santa Ana, CA 92701-4641

Mailing address

120 W 5TH St
Ste300
Santa Ana, CA 92701-4641
Phone (714) 834-0757

National Provider Directory

National Provider Directory

Locations

120 W 5th St
Ste 300
Santa Ana, CA 92701
Phone (714) 834-0757

Practitioners & affiliated clinicians

Practitioners 2

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083623516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 5TH ST",
            "address_2": "STE300",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014641",
            "telephone_number": "714-834-0757",
            "fax_number": "714-834-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 5TH ST",
            "address_2": "STE300",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014641",
            "telephone_number": "714-834-0757",
            "fax_number": "714-834-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO PSYCHOLOGICAL AND SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAZALDE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-834-0757",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY13614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.