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

Dr Nicole Chavez Psychological Services PC

Organization Clinical Child & Adolescent Psychologist · NPI 1174261051

Dr Nicole Chavez Psychological Services PC is a Clinical Child & Adolescent Psychologist in Costa Mesa, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

427 E 17th St # STF-1112
Costa Mesa, CA 92627-3201
Phone: (949) 280-4685
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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

Record details

NPI number1174261051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Chavez — Ceo · (949) 280-4685
NPI enumeratedMay 21, 2022
Last updated in NPPESMay 21, 2022
Certification dateMay 21, 2022
Mailing address1555 Mesa Verde Dr E Apt 40k, Costa Mesa, CA 92626-5246

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