NPIMap

Organization Active NPI

Acorn Integrative Psychotherapy

  • Clinical Psychologist
  • Fullerton, CA
National Provider Identifier
1184477093
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ACORN INTEGRATIVE PSYCHOTHERAPY
Doing business as
Acorn Integrative Psychotherapy
Practice address
112 E Amerige Ave Ste 228
Fullerton, CA 92832-1920
Phone
(562) 231-6733
NPI assigned
Apr 10, 2024
Last updated
Jun 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

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

Authorized official

Name
Emily P. Chen, PHDNPI 1003011230
Title
Owner
Phone
(562) 231-6733

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary
Clinical Child & Adolescent Psychologist 103TC2200X NU

Addresses

Primary practice location

112 E Amerige Ave Ste 228
Fullerton, CA 92832-1920

Mailing address

112 E Amerige Ave Ste 228
Fullerton, CA 92832-1920
Phone (562) 231-6733

Other names 1

  • Acorn Integrative Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

112 E Amerige Ave
Ste 228
Fullerton, CA 92832
Phone (562) 231-6733

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": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1184477093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E AMERIGE AVE STE 228",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321920",
            "telephone_number": "562-231-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E AMERIGE AVE STE 228",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321920",
            "telephone_number": "562-231-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN INTEGRATIVE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-231-6733",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acorn Integrative Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acorn Integrative Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 23, 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.