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

Children's Hospital of Orange County

Organization Psychologist · NPI 1194118018

Children's Hospital of Orange County is a Psychologist in Orange, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
8
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Practice location Address checks out

1201 W La Veta Ave
Orange, CA 92868-4203
Phone: (714) 509-8649
Fax: (714) 509-8374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X (CA)
Psychologist Taxonomy 103T00000X (CA)
Clinical Psychologist Taxonomy 103TC0700X (CA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X (CA)
Independent Medical Examiner Physician Taxonomy 202C00000X (CA)
Pediatrics Physician Taxonomy 208000000X (CA)
Psychiatry Physician Taxonomy 2084P0800X (CA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X (CA)

Record details

NPI number1194118018
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Hospital of Orange County
Authorized official Mark Kelly — Director, Business Services · (714) 509-7964
Other names Cs Miscellaneous Physician Services
NPI enumeratedMarch 17, 2015
Last updated in NPPESMarch 23, 2015
Mailing address1201 W La Veta Ave, Orange, CA 92868-4203

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