NPIMap

Acacia Psychological Corporation

Organization Active NPI Psychologist · Irvine, CA

NPI 1770148827 · NPPES record last updated May 3, 2019

Key facts

NPI
1770148827
Entity type
Organization (NPI type 2)
Primary specialty
Psychologist 103T00000X
Legal business name
ACACIA PSYCHOLOGICAL CORPORATION
Practice address
4255 Campus Dr Ste A245
Irvine, CA 92612-8630
Phone
(888) 699-4873
Fax
(805) 472-6099
NPI assigned
May 3, 2019
Organization subpart
Yes
Parent organization (as reported)
ACACIA PSYCHOLOGICAL CORPORATIOM

Authorized official

Name
Ms. Jess Rodriguez
Title
Director of Business Services
Phone
(805) 472-6099

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

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

National Provider Directory

Tax ID family
Acacia Psychological Corporation (9 organizations share this tax ID)
Part of
Acacia Psychological Corporation

Locations

281 Magnolia Ave
Ste 300
Goleta, CA 93117

4255 Campus Dr
Ste A245
Irvine, CA 92612
Phone (888) 699-4873

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103T00000X Yes

Addresses

Primary practice location

4255 Campus Dr Ste A245
Irvine, CA 92612-8630

Mailing address

281 Magnolia Ave Ste 300
Goleta, CA 93117-3608
Phone (805) 472-6099

Other names

  • Acacia Counseling & Wellness Doing business as

Other providers in Irvine, CA

All providers in Irvine, CA · Psychologist in California

Sources for this page

Verify at the official NPI Registry.