Mark Lum Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY13344 Issued in CA

Legal business name

MARK LUM PSYCHOLOGICAL SERVICES

Practice address

1801 E Heim Ave
Suite 204
Orange, CA 92865-3020

Phone

(714) 282-9713

Fax

(714) 282-8016

NPI assigned

Nov 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Stephen Lum, PSY.D.NPI 1083648752

Title

Licensed Psychologist

Phone

(949) 713-9846

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Stephen Lum, PSY.D.

  • Clinical Psychologist
  • Orange, CA
  • NPI 1083648752
  NPD (past) Authorized official

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1992986616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E HEIM AVE",
            "address_2": "SUITE 204",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653020",
            "telephone_number": "714-282-9713",
            "fax_number": "714-282-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E HEIM AVE",
            "address_2": "SUITE 204",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653020",
            "telephone_number": "714-282-9713",
            "fax_number": "714-282-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LUM PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "949-713-9846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Mariscal
• Michelle Nona Mariscal
• Mark a. George D.D.S., Inc
• Mark J Rodrigues MD Inc
• Mark J. Mroch, DDS,Dental Corp.
• Hope E Markley
• Ernest Markovich
• Barry Leroy Marks, DC
• Karen Ann Marks, LCSW
• Abril Lizbeth Marquez-Bravo

• Clinical Psychologist in Orange, CA
• Providers in Orange, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.