Southern California Psychiatric Associates Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A83535 Issued in CA

Legal business name

SOUTHERN CALIFORNIA PSYCHIATRIC ASSOCIATES INC.

Practice address

28 Monarch Bay PLZ
Suite N
Dana Point, CA 92629-3460

Phone

(949) 489-5564

Fax

(949) 493-9350

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Richard Granese, M.D.

Title

Owner

Phone

(949) 489-5564

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Lisa J Bailer, P.A.

  • Physician Assistant
  • Newport Beach, CA
  • NPI 1659485886
  NPD (past)
• Colleen Masters, PHD

  • Clinical Psychologist
  • Dana Point, CA
  • NPI 1215067558
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1962641811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MONARCH BAY PLZ",
            "address_2": "SUITE N",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293460",
            "telephone_number": "949-489-5564",
            "fax_number": "949-493-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MONARCH BAY PLZ",
            "address_2": "SUITE N",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293460",
            "telephone_number": "949-489-5564",
            "fax_number": "949-493-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA PSYCHIATRIC ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "GRANESE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-489-5564",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A83535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James John Soltis
• Grace Soltynski, DAOM
• South County Therapy
• South Shores Detox LLC
• South Shores Detoxllc
• Sovereignty Group Corp
• Sozango Inc
• John C. Spaeth Jr., O.D.
• Eric M Speare, M.D.
• Kristal St Jean

• Psychiatry Physician in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.