Active NPI
Prepare to Change, a Psychology Corporation
- Community/Behavioral Health Agency
- Tustin, CA
National Provider Identifier
1144592346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- PSY24067
- Legal business name
- PREPARE TO CHANGE, A PSYCHOLOGY CORPORATION
- Practice address
- 222 W Main St
Suite 101
Tustin, CA 92780-7720 - Phone
- (949) 275-8804
- NPI assigned
- Feb 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry Kuhn, PSYD
- Title
- President
- Phone
- (949) 275-8804
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | PSY24067 | CA | Primary |
Addresses
Primary practice location
222 W Main St
Suite 101
Tustin, CA 92780-7720
Mailing address
2182 Avocado Dr
Tustin, CA 92782-8346
Phone (949) 275-8804
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tustin, CA
- NPI 1932679859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341792000000",
"number": "1144592346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2182 AVOCADO DR",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927828346",
"telephone_number": "949-275-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W MAIN ST",
"address_2": "SUITE 101",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927807720",
"telephone_number": "949-275-8804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREPARE TO CHANGE, A PSYCHOLOGY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-02",
"last_updated": "2012-07-09",
"status": "A",
"authorized_official_last_name": "KUHN",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-275-8804",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "PSY24067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.