Organization Active NPI

Center for Learning and Behavioral Solutions, Inc.

  • Clinical Psychologist
  • Irvine, CA
National Provider Identifier
1104039122
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY16441 Issued in CA
Legal business name
CENTER FOR LEARNING AND BEHAVIORAL SOLUTIONS, INC.
Practice address
16220 Scientific Way
Irvine, CA 92618-4349
Phone
(949) 654-2424
Fax
(949) 654-2428
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Mr. Hamid Afyouni
Title
Cfo General Manager
Phone
(949) 654-2424

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY16441 CA Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY17893 CA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY22848 CA

Addresses

Primary practice location

16220 Scientific Way
Irvine, CA 92618-4349

Mailing address

16220 Scientific Way
Irvine, CA 92618-4349
Phone (949) 654-2424

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1104039122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 SCIENTIFIC WAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184349",
            "telephone_number": "949-654-2424",
            "fax_number": "949-654-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 SCIENTIFIC WAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184349",
            "telephone_number": "949-654-2424",
            "fax_number": "949-654-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR LEARNING AND BEHAVIORAL SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "AFYOUNI",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "CFO GENERAL MANAGER",
        "authorized_official_telephone_number": "949-654-2424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16441",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17893",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22848",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.