Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Child and Adolescent Behavioral Health Center

Organization Psychologist · NPI 1053835496

Child and Adolescent Behavioral Health Center is a Psychologist in Tustin, California. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
6
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Practice location Address checks out

17772 Irvine Blvd Ste 103
Tustin, CA 92780
Phone: (714) 696-1385
Fax: (888) 972-4028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X
Psychologist Taxonomy 103T00000X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Clinical Psychologist Taxonomy 103TC0700X
Family Psychologist Taxonomy 103TF0000X
Health Service Psychologist Taxonomy 103TH0100X

Record details

NPI number1053835496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iris Richardson — Partner · (714) 696-1385
NPI enumeratedJuly 27, 2017
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address17772 Irvine Blvd, Ste 103, Tustin, CA 92780-3256

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