NPIMap

Organization Active NPI

Golden Coast Psychology Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Costa Mesa, CA
National Provider Identifier
1275150419
Registry record updated Jul 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GOLDEN COAST PSYCHOLOGY CENTER
Practice address
3151 Airway Ave Ste A2
Costa Mesa, CA 92626-4620
Phone
(951) 323-3729
Fax
(949) 377-3940
NPI assigned
Jul 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2020

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

Authorized official

Name
Miss Marlene Cuevas, LCSWNPI 1235546870
Title
Ceo
Phone
(951) 323-3729

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

3151 Airway Ave Ste A2
Costa Mesa, CA 92626-4620

Mailing address

3151 Airway Ave Ste A2
Costa Mesa, CA 92626-4620
Phone (951) 323-3729

National Provider Directory

National Provider Directory

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": "1593820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593820800000",
    "number": "1275150419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE A2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264620",
            "telephone_number": "951-323-3729",
            "fax_number": "949-377-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE A2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264620",
            "telephone_number": "951-323-3729",
            "fax_number": "949-377-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN COAST PSYCHOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-04",
        "last_updated": "2020-07-04",
        "certification_date": "2020-07-04",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-323-3729",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 4, 2020; 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.