Organization Active NPI

Anaheim Elementary School District

  • School Psychologist
  • Anaheim, CA
National Provider Identifier
1104659408
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
ANAHEIM ELEMENTARY SCHOOL DISTRICT
Practice address
1000 S Harbor Blvd
Anaheim, CA 92805-5531
Phone
(714) 517-8914
NPI assigned
Aug 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Mai Michelle Le, EDUCATION SPECIALISTNPI 1578381133
Title
School Program Psychologist
Phone
(714) 620-4361

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
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X Primary

Addresses

Primary practice location

1000 S Harbor Blvd
Anaheim, CA 92805-5531

Mailing address

1001 S East St
Anaheim, CA 92805-5749

National Provider Directory

National Provider Directory

Locations

1000 S Harbor Blvd
Anaheim, CA 92805
Phone (714) 356-9418

Practitioners & affiliated clinicians

Practitioners 5

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": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1104659408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S EAST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S HARBOR BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055531",
            "telephone_number": "714-517-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "SCHOOL PROGRAM PSYCHOLOGIST",
        "authorized_official_telephone_number": "714-620-4361",
        "authorized_official_credential": "EDUCATION SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "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 22, 2024; 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.