Active NPI
Centralia Elementary School District
- School Psychologist
- Buena Park, CA
National Provider Identifier
1952211708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Legal business name
- CENTRALIA ELEMENTARY SCHOOL DISTRICT
- Practice address
- 7770 Camellia Dr
Buena Park, CA 90620-2152 - Phone
- (714) 228-3240
- NPI assigned
- Sep 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doris Alicia Kubasek, MAE., PPS
- Title
- School Psychologist
- Phone
- (323) 535-1793
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
7770 Camellia Dr
Buena Park, CA 90620-2152
Mailing address
7770 Camellia Dr
Buena Park, CA 90620-2152
Phone (714) 228-3240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1952211708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7770 CAMELLIA DR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906202152",
"telephone_number": "714-228-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7770 CAMELLIA DR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906202152",
"telephone_number": "714-228-3240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRALIA ELEMENTARY SCHOOL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "KUBASEK",
"authorized_official_first_name": "DORIS",
"authorized_official_middle_name": "ALICIA",
"authorized_official_title_or_position": "SCHOOL PSYCHOLOGIST",
"authorized_official_telephone_number": "323-535-1793",
"authorized_official_credential": "MAE., PPS"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.