Seaside Psychotherapy and Training Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SEASIDE PSYCHOTHERAPY AND TRAINING CENTER

Practice address

16162 Beach Blvd Ste 308
Huntington Beach, CA 92647-3894

Phone

(714) 592-4731

NPI assigned

Apr 26, 2022

Last updated

Apr 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shirley Liao, PHDNPI 1902931108

Title

Co-Founder

Phone

(714) 592-4731

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirley Shih-I Liao, PH.D.

  • Clinical Psychologist
  • Tustin, CA
  • NPI 1902931108
  NPD Authorized official
• Tiffany Coldiron, LMFT

  • Marriage & Family Therapist
  • Huntington Beach, CA
  • NPI 1336922251
  NPD
• Kenneth Duff Davis, PHD

  • Clinical Psychologist
  • Huntington Beach, CA
  • NPI 1245965854
  NPD
• Ariella Laura Lane, LMFT

  • Mental Health Counselor
  • Tustin, CA
  • NPI 1912640004
  NPD (past)

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1427792373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16162 BEACH BLVD STE 308",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16162 BEACH BLVD STE 308",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473894",
            "telephone_number": "714-592-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PSYCHOTHERAPY AND TRAINING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "714-592-4731",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@seasidepsychotherapy.com",
            "affiliation": "N",
            "address_1": "16162 Beach Blvd Ste 308",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926473894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Seagraves
• Jordan Seanez
• Seaside Audiology Vertigo & Ear Specialists Inc (Seaside Audiology)
• Seaside Dental Care
• Seaside Health Solutions Inc
• Seaview Counseling, Incj.
• Jerry Sebag, M.D., FACS, FRCOPHTH
• Sebastian Gonzales Chiropractic Inc.
• Glenda Bottoms Secor, OD
• Jasmine Sedaghati, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.