Child and Adolescent Behavioral Health Center, a Psychology Corp.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

CHILD AND ADOLESCENT BEHAVIORAL HEALTH CENTER, A PSYCHOLOGY CORP.

Doing business as

Cabhc
Child & Adolescent Behavioral Health Center

Practice address

17772 Irvine Blvd Ste 103
Tustin, CA 92780-3233

Phone

(714) 696-1385

Fax

(888) 972-4028

NPI assigned

Aug 2, 2018

Last updated

Sep 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Iris Amara Richardson, PH.D.

Title

Co-Owner

Phone

(714) 696-9783

Specialties & licenses 7

Addresses

Other names 2

• CABHC Doing business as
• Child & Adolescent Behavioral Health Center Doing business as

Practitioners 2

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.

• Luis Felipe Morales Knight, PH.D.

  • Clinical Psychologist
  • Oxnard, CA
  • NPI 1881974640
  NPD
• Patricia May Abad Gisbert, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Tustin, CA
  • NPI 1881889111
  NPD (past)

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1205314077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17772 IRVINE BLVD STE 103",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803233",
            "telephone_number": "714-696-1385",
            "fax_number": "888-972-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17772 IRVINE BLVD STE 103",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803233",
            "telephone_number": "714-696-1385",
            "fax_number": "888-972-4028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26161 La Paz Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926915334",
            "country_code": "US",
            "telephone_number": "949-206-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Anaheim Hills Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "92807",
            "country_code": "US",
            "telephone_number": "714-974-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILD AND ADOLESCENT BEHAVIORAL HEALTH CENTER, A PSYCHOLOGY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "AMARA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "714-696-9783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CABHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Child & Adolescent Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shanyna Chhay
• Jonathan Ramonty Chhean, NP
• Tina X. CHI, PHARMACIST
• Elsi Chica
• Child and Adolescent Behavioral Health Center
• Aleen Chin, MD
• Karla Maria Chinchilla Castro, ASW
• Sneha Chintamaneni, MD
• Chitra Bhakta M.D.a Professional Corporation (Oc Integrative Medical Center)
• Edwin Chiu

• Clinical Child & Adolescent Psychologist in Tustin, CA
• Providers in Tustin, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.