NPIMap

Organization Active NPI

Cholula Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Ana, CA
National Provider Identifier
1386230860
Registry record updated May 19, 2025
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
CHOLULA PSYCHOLOGICAL SERVICES
Doing business as
Cholula Psychological Services
Practice address
600 W Santa Ana Blvd Ste 214-B
Santa Ana, CA 92701-4558
Phone
(714) 253-7877
NPI assigned
Dec 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Dr. Jose Antonio Cholula Bruno, MA, EDDNPI 1578873584
Title
Ceo/Clinical Psychologist
Phone
(714) 253-7877

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

600 W Santa Ana Blvd Ste 214-B
Santa Ana, CA 92701-4558

Mailing address

600 W Santa Ana Blvd Ste 530
Santa Ana, CA 92701-4551
Phone (714) 253-7877

Other identifiers 1

IdentifierTypeStateIssuer
1578873584OtherNPI

Other names 1

  • Cholula Psychological Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HIE Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

600 W Santa Ana Blvd
Ste 530
Santa Ana, CA 92701
Phone (714) 253-7877

600 W Santa Ana Blvd
Ste 214B
Santa Ana, CA 92701
Phone (714) 253-7877

Practitioners & affiliated clinicians

Practitioners 7

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": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1386230860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 530",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014551",
            "telephone_number": "714-253-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 214-B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014558",
            "telephone_number": "714-253-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOLULA PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "CHOLULA BRUNO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "714-253-7877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MA, EDD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578873584",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HIE",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 W Santa Ana Blvd Ste 214-B",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927014558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cholula Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cholula Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.