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

Well Street Psychological Inc

Organization Cognitive & Behavioral Psychologist · NPI 1760936835

Well Street Psychological Inc is a Cognitive & Behavioral Psychologist in Anaheim, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 S Imperial Hwy
Anaheim, CA 92807-3943
Phone: (714) 730-9355
Fax: (714) 730-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY15533 (CA)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence PSY15533 (CA)
Counseling Psychologist Taxonomy 103TC1900X · Licence PSY15533 (CA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PSY15533 (CA)

Record details

NPI number1760936835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Eaton — Ceo/Owner · (714) 730-9355
NPI enumeratedAugust 6, 2016
Last updated in NPPESAugust 6, 2016
Mailing address100 S Imperial Hwy, Anaheim, CA 92807-3943

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