Psychheurology Associates

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A2000105 Issued in CA

Legal business name

PSYCHHEUROLOGY ASSOCIATES

Practice address

307 E Avenida Cordoba
San Clemente, CA 92672-2314

Phone

(714) 904-3750

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

Simon Casey, PHD CADACII CEDS

Title

Director

Phone

(714) 904-3750

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1427385160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E AVENIDA CORDOBA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E AVENIDA CORDOBA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722314",
            "telephone_number": "714-904-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHHEUROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-904-3750",
        "authorized_official_credential": "PHD CADACII CEDS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A2000105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Abril Prentiss
• Prime Mading Anesthesia, Inc.
• Anna Prochowska-Shkarovetskyy, RDN
• Project Renew
• Theresa Korbonski Pruitt, RPH
• Ptogethership Physical Therapy P.C.
• Marisa Puente, DACM, L.AC.
• Carrie Pulone, SLPA
• Pure Life Recovery
• Rosalyn Quan, PHARMD

• Addiction (Substance Use Disorder) Counselor in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.