Doris Alicia Kubasek

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

250249561 Issued in CA

Practice address

7770 Camellia Dr
Buena Park, CA 90620-2152

Phone

(714) 228-3240

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centralia Elementary School District

  • School Psychologist
  • Buena Park, CA
  • NPI 1952211708
  NPD (past) Authorized official

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1164336558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 CAMELLIA DR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202152",
            "telephone_number": "714-228-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 CAMELLIA DR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202152",
            "telephone_number": "714-228-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBASEK",
        "first_name": "DORIS",
        "middle_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "250249561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eun Bee Koh
• Komala Iyengar M.D.Inc
• Viral Kothary, PHARM.D., BCPS, BCGP
• Susan Kramer, SLP
• Kristen Vierregger (Metamorphosis Medical Center)
• Sunny Kumar
• Junggyu Kwak
• Hannah Kwon Lee
• Joy Jehee Kwon
• Soo Yeon Kwon, D.M.D

• School Psychologist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.