NPIMap

Organization Active NPI

Mindshift Psychological Services Inc

  • Marriage & Family Therapist
  • Corona, CA
National Provider Identifier
1124656194
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MINDSHIFT PSYCHOLOGICAL SERVICES INC
Practice address
1101 California Ave Ste 100
Corona, CA 92881-6472
Phone
(714) 584-9700
Fax
(714) 584-9700
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Rachael L Morua, LMFT, CSTNPI 1124594106
Title
Owner
Phone
(714) 584-9700

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1101 California Ave Ste 100
Corona, CA 92881-6472

Mailing address

1101 California Ave Ste 100
Corona, CA 92881-6472
Phone (714) 584-9700

Other practice location 1

11731 Sterling Ave Ste B
Riverside, CA 92503-4958
Phone (714) 584-9700

Other practice location 2

11633 San Vicente Blvd Ste 314
Los Angeles, CA 90049-6514
Phone (714) 584-9700

Other names 1

  • Mindshift Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240710004417 CA Part B Supplier - Clinic/Group Practice 8123563491 Receives reassigned benefits from 8 practitioners
Practice locations: Corona, CA; Riverside, CA

National Provider Directory

National Provider Directory

Locations

11731 Sterling Ave
Ste B
Riverside, CA 92503
Phone (714) 527-9700

Practitioners & affiliated clinicians

Practitioners 9

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": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1124656194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CALIFORNIA AVE STE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816472",
            "telephone_number": "714-584-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CALIFORNIA AVE STE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816472",
            "telephone_number": "714-584-9700",
            "fax_number": "714-584-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11731 Sterling Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925034958",
            "country_code": "US",
            "telephone_number": "714-584-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11633 San Vicente Blvd Ste 314",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900496514",
            "country_code": "US",
            "telephone_number": "714-584-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDSHIFT PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "MORUA",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-584-9700",
        "authorized_official_credential": "LMFT, CST"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindshift Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.