Atencio / Maclean Services, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PSY28555 Issued in CA

Legal business name

ATENCIO / MACLEAN SERVICES, INC.

Practice address

30250 Rancho Viejo Rd Ste G
San Juan Capistrano, CA 92675-1562

Phone

(949) 444-6741

NPI assigned

Mar 20, 2018

Last updated

Mar 20, 2018By 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. Gina Louise Atencio-Maclean, PSYD

Title

Psychologist

Phone

(949) 444-6741

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lily Randall, PSYD

  • Psychologist
  • San Clemente, CA
  • NPI 1831615467
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1871097303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30250 RANCHO VIEJO RD STE G",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751562",
            "telephone_number": "949-444-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30250 RANCHO VIEJO RD STE G",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751562",
            "telephone_number": "949-444-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATENCIO / MACLEAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "ATENCIO-MACLEAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "949-444-6741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "PSY28555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB261930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arv Assisted Living, Inc. (San Juan)
• James H Ashizawa, MD
• Asrv, LLC
• Kacie Astorga, NP
• At Your Service Healthcare, LLC
• William Glenn Atkins III
• Aureus Acquisition III, LP (Brighton Gardenof San Juan Capistrano)
• Janice Avalone
• Axos Acupuncture Inc
• Azadeh Sofiya Azmoudeh

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.