Active NPI
Pacific Psychological Services, Inc.
- Clinical Psychologist
- Temecula, CA
National Provider Identifier
1720236557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 21069
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770654949 | Other | CA | NPI ENTITY 1 |
National Provider Directory
National Provider DirectoryLocations
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.