Oc Psychological Counseling, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY15770 Issued in CA

Legal business name

OC PSYCHOLOGICAL COUNSELING, P.C.

Practice address

18430 Brookhurst St
Suite 202H
Fountain Valley, CA 92708-6726

Phone

(714) 271-9236

NPI assigned

Jul 21, 2016

Last updated

Jul 21, 2016By 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

Dr. Tonja Duvardo, PSY.D.NPI 1518903939

Title

President

Phone

(714) 271-9236

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Tonja Duvardo, PSYCHOLOGIST

  • Clinical Psychologist
  • Norwalk, CA
  • NPI 1518903939
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1578916847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18430 BROOKHURST ST",
            "address_2": "SUITE 202H",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086726",
            "telephone_number": "714-271-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18430 BROOKHURST ST",
            "address_2": "SUITE 202H",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086726",
            "telephone_number": "714-271-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC PSYCHOLOGICAL COUNSELING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "DUVARDO",
        "authorized_official_first_name": "TONJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-271-9236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.