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

Individual provider Counseling Psychologist · NPI 1508241779

Dr. Brian Licuanan, PHD is a Clinical Psychologist in Irvine, California. Qualified in 2010, 16 years ago. Practices with John C Fremont Healthcare District, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2015
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

17 Herringbone
Irvine, CA 92620
Phone: (714) 469-1418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 27276 (CA)

Record details

NPI number1508241779
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 29, 2015
Last updated in NPPESJuly 29, 2015
Mailing address17 Herringbone, Irvine, CA 92620

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice John C Fremont Healthcare District — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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