NPIMap

Organization Active NPI

Elan Academies

  • Intellectual & Developmental Disabilities Psychologist
  • Costa Mesa, CA
National Provider Identifier
1205226891
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
PSY22346 Issued in CA
Legal business name
ELAN ACADEMIES
Practice address
3158 Red Hill Ave Ste 150
Costa Mesa, CA 92626-3428
Phone
(714) 966-2312
Fax
(714) 966-2317
NPI assigned
Feb 3, 2015
Last updated
Feb 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Mrs. Mima Ransom
Title
Business Manager
Phone
(714) 966-2312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY22346 CA Primary

Addresses

Primary practice location

3158 Red Hill Ave Ste 150
Costa Mesa, CA 92626-3428

Mailing address

3158 Red Hill Ave Ste 150
Costa Mesa, CA 92626-3428
Phone (714) 966-2312

National Provider Directory

National Provider Directory
Tax ID family
Elan Academies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3158 Red Hill Ave
Ste 150
Costa Mesa, CA 92626
Phone (714) 966-2312

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": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1205226891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 RED HILL AVE STE 150",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263428",
            "telephone_number": "714-966-2312",
            "fax_number": "714-966-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3158 RED HILL AVE STE 150",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263428",
            "telephone_number": "714-966-2312",
            "fax_number": "714-966-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAN ACADEMIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "RANSOM",
        "authorized_official_first_name": "MIMA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "714-966-2312",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY22346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.