Organization Active NPI

Shanti Psychological Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laguna Hills, CA
National Provider Identifier
1538772629
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SHANTI PSYCHOLOGICAL CORPORATION
Practice address
23461 South Pointe Drive
Suite 100
Laguna Hills, CA 92653
Phone
(949) 452-0888
Fax
(949) 452-0889
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Dr. Lindsay Ann Fitzpatrick, PSYD
Title
Psychologist/Owner
Phone
(949) 452-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

23461 South Pointe Drive
Suite 100
Laguna Hills, CA 92653

Mailing address

23461 South Pointe Drive
Suite 100
Laguna Hills, CA 92653
Phone (949) 452-0888

National Provider Directory

National Provider Directory

Locations

23461 S Pointe Dr
Ste 100
Laguna Hills, CA 92653
Phone (949) 452-0888

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1538772629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23461 SOUTH POINTE DRIVE",
            "address_2": "SUITE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-452-0888",
            "fax_number": "949-452-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23461 SOUTH POINTE DRIVE",
            "address_2": "SUITE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-452-0888",
            "fax_number": "949-452-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTI PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "949-452-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.