Active NPI
Carlson Consulting CC Psychological Corporation, Dba Carlson Consulting Clinic
- Clinic/Center
- Irvine, CA
National Provider Identifier
1235061607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- CARLSON CONSULTING CC PSYCHOLOGICAL CORPORATION, DBA CARLSON CONSULTING CLINIC
- Practice address
- 19200 Von Karman Ave Ste 600
Irvine, CA 92612-8516 - Phone
- (510) 444-1110
- Fax
- (949) 885-8885
- NPI assigned
- Jun 1, 2026
- 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. Carol Victor Carlson, PH.D.
- Title
- Clinical & Consulting Psychologist
- Phone
- (510) 444-1110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
19200 Von Karman Ave Ste 600
Irvine, CA 92612-8516
Mailing address
405 Rockefeller Apt 906
Irvine, CA 92612-7192
Phone (510) 444-1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710102595 | Other | CA | INDIVIDUAL N.P.I. |
Other names 1
- Carlson Consulting Clinic
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.PsychologyToday.com/profile/99855 | Other |
National Provider Directory
National Provider DirectoryLocations
19200 Von Karman Ave
Ste 600
Irvine, CA 92612
Phone (213) 505-6322
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Irvine, CA
- NPI 1710102595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780272000000",
"number": "1235061607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 ROCKEFELLER APT 906",
"city": "IRVINE",
"state": "CA",
"postal_code": "926127192",
"telephone_number": "510-444-1110",
"fax_number": "949-885-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19200 VON KARMAN AVE STE 600",
"city": "IRVINE",
"state": "CA",
"postal_code": "926128516",
"telephone_number": "510-444-1110",
"fax_number": "949-885-8885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLSON CONSULTING CC PSYCHOLOGICAL CORPORATION, DBA CARLSON CONSULTING CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-05-18",
"status": "A",
"authorized_official_last_name": "CARLSON",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "VICTOR",
"authorized_official_title_or_position": "CLINICAL & CONSULTING PSYCHOLOGIST",
"authorized_official_telephone_number": "510-444-1110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL N.P.I.",
"identifier": "1710102595",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.PsychologyToday.com/profile/99855",
"affiliation": "N",
"endpointDescription": "PsychologyToday.com",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "PsychologyToday.com",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PsychologyToday.com",
"address_1": "19200 Von Karman Ave Ste 600",
"city": "Irvine",
"state": "CA",
"country_code": "US",
"postal_code": "926128516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Carlson Consulting Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.