Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Children's Hospital of Orange County

Organization Psychologist · NPI 1194118018

Children's Hospital of Orange County provides Psychologist services in Orange, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
8
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Practice location Address checks out

1201 W La Veta Ave
Orange, CA 92868-4203 Not confirmed with CMS for 11 years — call before visiting
Phone: (714) 509-8649
Fax: (714) 509-8374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X (CA)
Psychologist Taxonomy 103T00000X (CA)
Clinical Psychologist Taxonomy 103TC0700X (CA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X (CA)
Independent Medical Examiner Physician Taxonomy 202C00000X (CA)
Pediatrics Physician Taxonomy 208000000X (CA)
Psychiatry Physician Taxonomy 2084P0800X (CA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X (CA)

Record details

NPI number1194118018
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Hospital of Orange County
Authorized official Mark Kelly — Director, Business Services · (714) 509-7964
Other names Cs Miscellaneous Physician Services
NPI enumeratedMarch 17, 2015
Last updated in NPPESMarch 23, 2015
Mailing address1201 W La Veta Ave, Orange, CA 92868-4203

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