Keystone Pediatric Behavioral Health

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

27081 Issued in CA

Legal business name

KEYSTONE PEDIATRIC BEHAVIORAL HEALTH

Practice address

610 Pacific Coast Hwy
Suite 201
Seal Beach, CA 90740-6604

Phone

(562) 356-8600

NPI assigned

Apr 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michele Audrey Ocen, PHD., BCBA

Title

Psychologist/ Bcba

Phone

(562) 356-8600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1992169940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 TEMPLE AVE",
            "address_2": "APT 26",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141255",
            "telephone_number": "562-356-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PACIFIC COAST HWY",
            "address_2": "SUITE 201",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406604",
            "telephone_number": "562-356-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PEDIATRIC BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "OCEN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "AUDREY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/ BCBA",
        "authorized_official_telephone_number": "562-356-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD., BCBA"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "27081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karol a Bailey, PH.D., a Professional Psychological Corporation
• Lana Kashou
• Shauna Marie Kaufman, RBT, BCBA
• Keith W. Cowhey, DDS, Inc
• Sharon Kelly, PH.D.
• Andrew Kim, DDS
• David Kim, PT, DPT
• Hyunmie Lee Kim, NP
• Johnathan Yoon-Young Kim, LVN
• Young Ok Kim

• Intellectual & Developmental Disabilities Psychologist in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Intellectual & Developmental Disabilities Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.