Organization Active NPI

Vision Neuropsychology & Psychology

  • Clinical Neuropsychologist
  • Fountain Valley, CA
National Provider Identifier
1396631388
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
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

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Timothy Obrien, PH.D.NPI 1275924557
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)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250812000624 CA Part B Supplier - Clinic/Group Practice 3072011709 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA; Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.