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

Individual provider Mental Health Counselor · NPI 1265211239

Dr. Tiffany Marie Modica, PSYD is a Mental Health Counselor in Costa Mesa, California. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1700 Adams Ave Ste 214
Costa Mesa, CA 92626-4865
Phone: (714) 957-1973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 61475566 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LH61475566 (WA)

Record details

NPI number1265211239
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 27, 2023
Last updated in NPPESOctober 13, 2024
Certification dateOctober 13, 2024

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