Organization Active NPI

Pacific Psychological Services, Inc.

  • Clinical Psychologist
  • Temecula, CA
National Provider Identifier
1720236557
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
21069 Issued in CA
Legal business name
PACIFIC PSYCHOLOGICAL SERVICES, INC.
Practice address
41690 Enterprise Cir N
Suite 104
Temecula, CA 92590-5616
Phone
(951) 795-1590
Fax
(951) 296-6048
NPI assigned
Sep 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Dr. Sheilly Arora, PH.D.
Title
Clinical Psychologist
Phone
(951) 296-6046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 21069 CA Primary

Addresses

Primary practice location

41690 Enterprise Cir N
Suite 104
Temecula, CA 92590-5616

Mailing address

41690 Enterprise Cir N
Suite 104
Temecula, CA 92590-5616
Phone (951) 795-1590

Other identifiers 1

IdentifierTypeStateIssuer
1770654949OtherCANPI ENTITY 1

National Provider Directory

National Provider Directory

Locations

41690 Enterprise Cir N
Ste 104
Temecula, CA 92590
Phone (951) 296-0662

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1720236557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41690 ENTERPRISE CIR N",
            "address_2": "SUITE 104",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905616",
            "telephone_number": "951-795-1590",
            "fax_number": "951-296-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41690 ENTERPRISE CIR N",
            "address_2": "SUITE 104",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905616",
            "telephone_number": "951-795-1590",
            "fax_number": "951-296-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "SHEILLY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "951-296-6046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "21069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENTITY 1",
            "identifier": "1770654949",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.