NPIMap

Organization Active NPI

Children's Hospital of Orange County

Doing business as Choc Psych

  • Psychologist
  • Santa Ana, CA
National Provider Identifier
1871910489
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Doing business as
Choc Psych
Practice address
2500 Red Hill Ave
Suite 100
Santa Ana, CA 92705-5518
Phone
(949) 267-0400
Fax
(949) 221-0004
NPI assigned
Mar 20, 2014
Last updated
Mar 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Mark Kelly
Title
Director, CS Business Services
Phone
(714) 509-7964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

2500 Red Hill Ave
Suite 100
Santa Ana, CA 92705-5518

Mailing address

1201 W la Veta Ave
Orange, CA 92868-4203
Phone (949) 267-0400

Other names 1

  • CHOC PSYCH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children's Hospital of Orange55 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1871910489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684203",
            "telephone_number": "949-267-0400",
            "fax_number": "949-221-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RED HILL AVE",
            "address_2": "SUITE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055518",
            "telephone_number": "949-267-0400",
            "fax_number": "949-221-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR, CS BUSINESS SERVICES",
        "authorized_official_telephone_number": "714-509-7964"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOC PSYCH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.