Arborview Psychological Services Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY16356 Issued in CA

Legal business name

ARBORVIEW PSYCHOLOGICAL SERVICES INC

Practice address

16152 Beach Blvd Suite 179
Huntington Beach, CA 92647

Phone

(714) 841-1330

Fax

(714) 841-1316

NPI assigned

Feb 27, 2007

Last updated

Jan 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marichu Carrion Wolmerath, PHD

Title

Owner

Phone

(714) 841-1330

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1790812147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10313",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92685",
            "telephone_number": "714-841-1330",
            "fax_number": "714-841-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16152 BEACH BLVD SUITE 179",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92647",
            "telephone_number": "714-841-1330",
            "fax_number": "714-841-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBORVIEW PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "WOLMERATH",
        "authorized_official_first_name": "MARICHU",
        "authorized_official_middle_name": "CARRION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-841-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY16356",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC20709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.