NPIMap

Organization Active NPI

Psychological Assessment Services

  • Clinical Psychologist
  • Santa Ana, CA
National Provider Identifier
1982895421
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY12317 Issued in CA
Legal business name
PSYCHOLOGICAL ASSESSMENT SERVICES
Practice address
2107 N. Broadway #207
Santa Ana, CA 92706
Phone
(714) 972-0040
Fax
(714) 972-0477
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Ms. Emy Zorilla
Title
MPN Coordinator
Phone
(714) 972-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY12317 CA Primary

Addresses

Primary practice location

2107 N. Broadway #207
Santa Ana, CA 92706

Mailing address

PO Box 6299
Laguna Niguel, CA 92607-6200
Phone (714) 972-0040

National Provider Directory

National Provider Directory
Tax ID family
Psychological Assessment Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1982895421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6299",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926076200",
            "telephone_number": "714-972-0040",
            "fax_number": "714-972-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 N. BROADWAY #207",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92706",
            "telephone_number": "714-972-0040",
            "fax_number": "714-972-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSESSMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "ZORILLA",
        "authorized_official_first_name": "EMY",
        "authorized_official_title_or_position": "MPN COORDINATOR",
        "authorized_official_telephone_number": "714-972-0040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 9, 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.