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

Dr. Caroline Ann Prouvost

Individual provider Clinical Psychologist · NPI 1396092565

Dr. Caroline Ann Prouvost is a Clinical Psychologist in Tustin, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

13217 Jamboree Rd #161
Tustin, CA 92782
Phone: (714) 253-7710
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY30457 (CA)

Record details

NPI number1396092565
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2012
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

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