Progeny Mental & Behavioral Health

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PROGENY MENTAL & BEHAVIORAL HEALTH

Practice address

17782 Cowan Ste a
Irvine, CA 92614-6041

Phone

(949) 722-7118

Fax

(949) 722-7119

NPI assigned

Aug 31, 2017

Last updated

Jul 21, 2022By 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

Cindy Capretz, LCSWNPI 1134409907

Title

Vice President

Phone

(949) 689-3604

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Cindy Lee Capretz, LCSW

  • Clinical Social Worker
  • Irvine, CA
  • NPI 1134409907
  Authorized official Same address or phone
• Jason P Kellogg, M.D.

  • Psychiatry Physician
  • Irvine, CA
  • NPI 1952331530
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285152074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17782 COWAN STE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146041",
            "telephone_number": "949-722-7118",
            "fax_number": "949-722-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17782 COWAN STE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146041",
            "telephone_number": "949-722-7118",
            "fax_number": "949-722-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGENY MENTAL & BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CAPRETZ",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "949-689-3604",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "170002122",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pro Health Psychiatry Nursing Corporation
• Procedure Center of Irvine Inc. (Procedure Center of Irvine)
• Proedge Physical Therapy
• Professional Neuromonitoring Corporation
• Professional Services Staffing, LLC (Salus Home Health)
• Progeny Psychiatric Clinic
• Progeny Psychiatric Clinic a Medical Corporation
• Progeny TMS Corporation
• Prohab Services LLC
• Prohealth Partners a Medical Group Inc

• Clinical Psychologist in Irvine, CA
• Providers in Irvine, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.