Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SO CAL PSYCHOLOGY SERVICES APC
Active
Organization
SO CAL PSYCHOLOGY SERVICES APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA FERNANDEZ LPT (OFFICE MANAGER)
(949) 542-3874
Entity
Organization
Contact information
Practice address
34249 CAMINO CAPISTRANO STE 101, CAPO BEACH, CA 92624-1138
(949) 542-3874
(949) 484-7021
Mailing address
34249 CAMINO CAPISTRANO STE 101, CAPO BEACH, CA 92624-1138
(949) 542-3874
(949) 484-7021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TF0000X
Family Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers