Providence Community Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

251B00000X Issued in CA

Legal business name

PROVIDENCE COMMUNITY SERVICES

Practice address

1345 Cabrillo Park Dr
Q14
Santa Ana, CA 92701-3108

Phone

(949) 515-5440

Fax

(949) 515-5444

NPI assigned

Jul 28, 2006

Last updated

Aug 22, 2020By 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

Ms. Elizabeth Ward, LMFT

Title

Clinical Director

Phone

(949) 515-5440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346254778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 CABRILLO PARK DR",
            "address_2": "Q14",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013108",
            "telephone_number": "949-515-5440",
            "fax_number": "949-515-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 CABRILLO PARK DR",
            "address_2": "Q14",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013108",
            "telephone_number": "949-515-5440",
            "fax_number": "949-515-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "949-515-5440",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "251B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prospect Northwest Orange County Medical Group Inc. (Prospect NWOC Medical Group Inc.)
• Prospect Professional Care Medical Group, Inc.
• Caroline Elizabeth Prosser, OTR/L
• Katrina Marie Prouty, SLP
• Providence Community Services
• Providence Service Corporation
• Joseph Henry Provost
• Psychological Assessment Services
• Psychological Assessment Services
• Psychology & Wellness

• Case Management Agency in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.