# ROBERT E RECORD PHD A PSYCHOLOGICAL CORPORATION

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790023240
- **Authorized official:** DR. ROBERT E RECORD PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (714) 904-0679

## Contact information

- **Practice address:** 875 N BREA BLVD, BREA, CA 92821-2606
- **Practice address phone:** (714) 904-0679
- **Mailing address:** PO BOX 2189, YORBA LINDA, CA 92885-1389
- **Mailing address phone:** (714) 904-0679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | PSY6946 | CA | — |
| 302R00000X | Health Maintenance Organization | PSY6946 | CA | Yes |

## Other

- **Enumeration date:** 01/17/2013
- **Last updated:** 01/04/2016