Organization Active NPI

Oc Counseling and Psychological Services, P.C.

  • Community/Behavioral Health Agency
  • Yorba Linda, CA
National Provider Identifier
1528405099
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY2237 Issued in CA
Legal business name
OC COUNSELING AND PSYCHOLOGICAL SERVICES, P.C.
Practice address
17451 Bastanchury Rd
Suite 204, Office 21
Yorba Linda, CA 92886-1857
Phone
(888) 958-5485
Fax
(888) 958-5485
NPI assigned
May 23, 2013
Last updated
Dec 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Dr. Susan Patricia Kaneshiro, PSY.DNPI 1225269889
Title
Clinical Director
Phone
(714) 404-7398

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
Community/Behavioral Health Agency 251S00000X PSY2237 CA Primary

Addresses

Primary practice location

17451 Bastanchury Rd
Suite 204, Office 21
Yorba Linda, CA 92886-1857

Mailing address

17451 Bastanchury Rd
Suite 204, Office 21
Yorba Linda, CA 92886-1857
Phone (888) 958-5485

Other names 1

  • OC Counseling Center Other name

National Provider Directory

National Provider Directory

Locations

17451 Bastanchury Rd
Ste 204
Yorba Linda, CA 92886
Phone (714) 404-7398

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1528405099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17451 BASTANCHURY RD",
            "address_2": "SUITE 204, OFFICE 21",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861857",
            "telephone_number": "888-958-5485",
            "fax_number": "888-958-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17451 BASTANCHURY RD",
            "address_2": "SUITE 204, OFFICE 21",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861857",
            "telephone_number": "888-958-5485",
            "fax_number": "888-958-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC COUNSELING AND PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "KANESHIRO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "714-404-7398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY2237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.