Organization Active NPI

Theracare Wellness Inc

  • Psychologist
  • Brea, CA
National Provider Identifier
1487200515
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
THERACARE WELLNESS INC
Practice address
265 S Randolph Ave Ste 120
Brea, CA 92821-5798
Phone
(562) 448-5907
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Dustin ArnoldNPI 1366921900
Title
Clinical Psychologist
Phone
(909) 491-4289

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

265 S Randolph Ave Ste 120
Brea, CA 92821-5798

Mailing address

265 S Randolph Ave Ste 120
Brea, CA 92821-5798
Phone (909) 491-4289

Other identifiers 1

IdentifierTypeStateIssuer
215E40TLMedicaidCA

Other names 2

  • TheraCare Wellness Doing business as
  • Talk Therapy OC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200102001478 CA Part B Supplier - Clinic/Group Practice 9537593371 Receives reassigned benefits from 4 practitioners
Practice locations: Brea, CA

National Provider Directory

National Provider Directory

Locations

265 S Randolph Ave
Ste 120
Brea, CA 92821
Phone (657) 246-3075

240 Miller Ave
Ste A
Mill Valley, CA 94941
Phone (916) 715-4741

Practitioners & affiliated clinicians

Practitioners 4

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": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1487200515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 S RANDOLPH AVE STE 120",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215798",
            "telephone_number": "909-491-4289",
            "fax_number": "714-707-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S RANDOLPH AVE STE 120",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215798",
            "telephone_number": "562-448-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "909-491-4289"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215E40TL",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheraCare Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TheraCare Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Talk Therapy OC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.