Active NPI
Vision Neuropsychology & Psychology
- Clinical Neuropsychologist
- Fountain Valley, CA
National Provider Identifier
1396631388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- VISION NEUROPSYCHOLOGY & PSYCHOLOGY
- Practice address
- 10061 Talbert Ave # 234
Fountain Valley, CA 92708-5159 - Phone
- (949) 526-9504
- NPI assigned
- Jun 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Obrien, PH.D.
- Title
- President
- Phone
- (205) 908-4125
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary | ||
| Clinical Psychologist | 103TC0700X |
Addresses
Primary practice location
10061 Talbert Ave # 234
Fountain Valley, CA 92708-5159
Mailing address
6285 E Spring St # 598
Long Beach, CA 90808-4020
Phone (205) 908-4125
Other practice location 1
2708 Ostrom Ave
Long Beach, CA 90815-4020
Phone (205) 908-4125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10061 Talbert Ave
#234
Fountain Valley, CA 92708
Phone (949) 526-9504
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Fountain Valley, CA
- NPI 1275924557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1396631388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6285 E SPRING ST # 598",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908084020",
"telephone_number": "205-908-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10061 TALBERT AVE # 234",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085159",
"telephone_number": "949-526-9504"
}
],
"practiceLocations": [
{
"address_1": "2708 Ostrom Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908154020",
"country_code": "US",
"telephone_number": "205-908-4125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VISION NEUROPSYCHOLOGY & PSYCHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-16",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "OBRIEN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-908-4125",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.