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

Ivy Glenn Wellness

Organization Psychologist · NPI 1417428665

Ivy Glenn Wellness is a Psychologist in Laguna Niguel, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

30011 Ivy Glenn Dr Ste 216
Laguna Niguel, CA 92677-5018
Phone: (949) 484-9161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1417428665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Bachman — Owner · (858) 663-0651
NPI enumeratedDecember 16, 2018
Last updated in NPPESDecember 16, 2018
Mailing address30011 Ivy Glenn Dr Ste 216, Laguna Niguel, CA 92677-5018

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