Organization Active NPI

Carlson Consulting CC Psychological Corporation, Dba Carlson Consulting Clinic

  • Clinic/Center
  • Irvine, CA
National Provider Identifier
1235061607
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Jun 1, 2026

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.NPI 1710102595
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1710102595OtherCAINDIVIDUAL N.P.I.

Other names 1

  • Carlson Consulting Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.PsychologyToday.com/profile/99855 Other

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.