Affirming Psychological Services Professional Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

AFFIRMING PSYCHOLOGICAL SERVICES PROFESSIONAL CORPORATION

Practice address

17752 Sky Park Cir Ste 245
Irvine, CA 92614-4478

Phone

(949) 438-3344

NPI assigned

Oct 30, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Moore, PSYDNPI 1861946873

Title

Clinical Psychologist, President

Phone

(949) 438-3344

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Moore, PSYD

  • Clinical Psychologist
  • Irvine, CA
  • NPI 1861946873
  NPD Authorized official

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1639942998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17752 SKY PARK CIR STE 245",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144478",
            "telephone_number": "949-438-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17752 SKY PARK CIR STE 245",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144478",
            "telephone_number": "949-438-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRMING PSYCHOLOGICAL SERVICES PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST, PRESIDENT",
        "authorized_official_telephone_number": "949-438-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Irvine, CA
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.