Pacific Forensic Psychology Associates, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC

Practice address

5200 San Gabriel PL Ste G
Pico Rivera, CA 90660-2498

Phone

(562) 949-4800

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Mendonsa, PSY.D., MBANPI 1760530117

Title

Ceo / Principle

Phone

(916) 224-0212

Specialties & licenses 10

Addresses

Other names 2

• SHARPER FUTURE Doing business as
• SHARPER FUTURE San Diego Doing business as

Tax ID family

Pacific Forensic Psychology Associates Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Forenisc Psychology

  • Mental Health Counselor
  • Colton, CA
  • NPI 1740472422
  NPD tax ID
• Pacific Forensic Psychology Associates, Inc

  • Adult Mental Health Clinic/Center
  • Sonoma, CA
  • NPI 1790325694
  NPD tax ID
• Pacific Forensic Psychology Associates, Inc

  • Forensic Psychologist
  • Los Angeles, CA
  • NPI 1992997597
  NPD tax ID
• Sharper Future

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1255593695
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Mendonsa, PSY.D., MBA

  • Clinical Psychologist
  • Sacramento, CA
  • NPI 1760530117
  NPD (past) Authorized official
• Angela Lynn Gomez, LCSW

  • Clinical Social Worker
  • Soledad, CA
  • NPI 1780302612
  NPD (past)
• Jamie Blake Maxwell, LMFT

  • Marriage & Family Therapist
  • Grass Valley, CA
  • NPI 1073877684
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1396929022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19230 SONOMA HIGHWAY",
            "address_2": "SUITE 200",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "95476",
            "telephone_number": "707-395-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SAN GABRIEL PL STE G",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602498",
            "telephone_number": "562-949-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 East St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "CA",
            "postal_code": "957764966",
            "country_code": "US",
            "telephone_number": "530-748-0480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73733 Fred Waring Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922602591",
            "country_code": "US",
            "telephone_number": "760-773-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1660 Chicago Ave Ste M17",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925072033",
            "country_code": "US",
            "telephone_number": "951-682-1180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2667 Camino Del Rio S",
            "address_2": "Suite #305",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083707",
            "country_code": "US",
            "telephone_number": "619-298-7427",
            "fax_number": "619-298-7072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9261 Folsom Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958262559",
            "country_code": "US",
            "telephone_number": "916-476-5165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Del Mar Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282702",
            "country_code": "US",
            "telephone_number": "408-295-0833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 E Shields Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937045043",
            "country_code": "US",
            "telephone_number": "559-384-2223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W Yosemite Ave",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936374520",
            "country_code": "US",
            "telephone_number": "559-384-1117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 S Figueroa St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153420",
            "country_code": "US",
            "telephone_number": "323-232-2874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Richland Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959916267",
            "country_code": "US",
            "telephone_number": "916-476-5165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "MENDONSA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO / PRINCIPLE",
        "authorized_official_telephone_number": "916-224-0212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., MBA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHARPER FUTURE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHARPER FUTURE San Diego",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHARPER FUTURE San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Orosco
• Lizette Alejandra Orozco, BSW
• Heidi Briana Ortega
• Oscar R. Trigoso, D.D.S., Inc.
• Felipe Osuna
• Paulina Ascensio Padilla, LCSW
• Sucheta Pai, PHARM.D.
• Doris Maria Palma, 68218
• Christian Javier Paredes
• Parth Prashant Parikh, PHARM.D.

• Adult Mental Health Clinic/Center in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.