Individual provider Active NPI

Melissa Claire Soo Hoo, PSY.D.

  • Psychologist
  • Brea, CA
National Provider Identifier
1720117708
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY21385 Issued in CA
Practice address
2767 E Imperial Hwy
Brea, CA 92821-6713
Phone
(714) 578-8706
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY21385 CA Primary

Addresses

Primary practice location

2767 E Imperial Hwy
Brea, CA 92821-6713

Mailing address

2767 E Imperial Hwy
Brea, CA 92821-6713
Phone (714) 578-8706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070614000658 CA Practitioner - Clinical Psychologist 0648378620 Reassigns benefits to 2 organizations
Practice locations: Tustin, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Tustin, CA 92780
Phone (949) 337-1034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY21385CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Health and Wellness, a Nursing Corporation CurrentSince Jul 1, 2020 Accepting new patients
Cognitive Care Solutions Group Inc CurrentSince Nov 20, 2019 Accepting new patients
Asana Integrated Medical Group PC PastSince Aug 1, 2021 Accepting new patients

Locations

3943 Irvine Blvd
Irvine, CA 92602
Phone (714) 922-0120

23461 S Pointe Dr
Ste 240
Laguna Hills, CA 92653
Phone (714) 545-3390

26400 La Alameda
Ste 208
Mission Viejo, CA 92691
Phone (949) 339-0471

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1720117708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2767 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216713",
            "telephone_number": "714-578-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216713",
            "telephone_number": "714-578-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOO HOO",
        "first_name": "MELISSA",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.