NPIMap

Organization Active NPI

Paul M. Fick, PH.D.

  • Clinical Psychologist
  • Laguna Niguel, CA
National Provider Identifier
1770735490
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 12618 Issued in CA
Legal business name
PAUL M. FICK, PH.D.
Practice address
28281 Crown Valley Pkwy Ste 225
Laguna Niguel, CA 92677-1483
Phone
(949) 916-5060
Fax
(949) 916-5075
NPI assigned
Oct 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Dr. Paul M. Fick, PH.D.NPI 1003265547
Title
Owner/Psychologist
Phone
(949) 916-5060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PSY 12618 CA Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X PSY 18298 CA

Addresses

Primary practice location

28281 Crown Valley Pkwy Ste 225
Laguna Niguel, CA 92677-1483

Mailing address

28281 Crown Valley Pkwy Ste 225
Laguna Niguel, CA 92677-1483
Phone (949) 916-5060

Other names 1

  • South County Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

28281 Crown Valley Pkwy
Ste 225
Laguna Niguel, CA 92677
Phone (949) 505-3789

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1770735490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28281 CROWN VALLEY PKWY STE 225",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771483",
            "telephone_number": "949-916-5060",
            "fax_number": "949-916-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28281 CROWN VALLEY PKWY STE 225",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771483",
            "telephone_number": "949-916-5060",
            "fax_number": "949-916-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL M. FICK, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "FICK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "949-916-5060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 12618",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "PSY 18298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.