Organization Active NPI

Advanced Research Center, Inc.

  • Clinical Child & Adolescent Psychologist
  • Anaheim, CA
National Provider Identifier
1619100260
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY17357 Issued in CA
Legal business name
ADVANCED RESEARCH CENTER, INC.
Practice address
1020 S Anaheim Blvd
#316
Anaheim, CA 92805-5851
Phone
(714) 999-6688
Fax
(714) 677-4040
NPI assigned
Aug 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Dr. Sung Hye Yi, PH.D.NPI 1578606240
Title
Cfo
Phone
(714) 493-7258

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
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X PSY17357 CA Primary

Addresses

Primary practice location

1020 S Anaheim Blvd
#316
Anaheim, CA 92805-5851

Mailing address

6789 Quail Hill Pkwy
#336
Irvine, CA 92603-4233
Phone (714) 493-7258

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2027016Advanced Research Center Inc1020 S Anaheim Blvd Ste 316, Anaheim, CA 92805Certificate of waiverJul 13, 2027

National Provider Directory

National Provider Directory

Locations

1020 S Anaheim Blvd
Ste 316
Anaheim, CA 92805
Phone (714) 493-7258

6789 Quail Hill Pkwy
Irvine, CA 92603
Phone (949) 278-5579

Practitioners & affiliated clinicians

Practitioners 2

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": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1619100260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6789 QUAIL HILL PKWY",
            "address_2": "#336",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926034233",
            "telephone_number": "714-493-7258",
            "fax_number": "714-677-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S ANAHEIM BLVD",
            "address_2": "#316",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055851",
            "telephone_number": "714-999-6688",
            "fax_number": "714-677-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RESEARCH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "SUNG HYE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-493-7258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY17357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.