Organization Active NPI

Nguyenpreda Psychologist Professional Corporation

  • Clinical Psychologist
  • Fullerton, CA
National Provider Identifier
1104737618
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NGUYENPREDA PSYCHOLOGIST PROFESSIONAL CORPORATION
Practice address
1370 Brea Blvd Ste 210
Fullerton, CA 92835-4128
Phone
(714) 614-8773
NPI assigned
Sep 14, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Dr. Dana Nguyen Preda, PHDNPI 1225918444
Title
Owner
Phone
(714) 614-8773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1370 Brea Blvd Ste 210
Fullerton, CA 92835-4128

Mailing address

6739 E Kentucky Ave
Anaheim, CA 92807-5023
Phone (714) 614-8773

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1104737618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 E KENTUCKY AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928075023",
            "telephone_number": "714-614-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 BREA BLVD STE 210",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354128",
            "telephone_number": "714-614-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYENPREDA PSYCHOLOGIST PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "PREDA",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-614-8773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.