GREG KLASSEN (NPI# 1083100093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083100093 |
| Entity Type | Individual |
| Full Name | GREG KLASSEN |
| Credential | PSY.D. |
| Practice Address |
23792 Rockflield Boulevard Suite 290 Lake Forest CA 92630-2819 |
| Practice Telephone | 9493038932 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY18605 | CA | Behavioral Health & Social Service Providers |
| Street Address |
23792 ROCKFLIELD BOULEVARD SUITE 290 |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508388836 | Laird Patrick Bridgman | Psychologist | 22772 Centre Dr Ste 205, Lake Forest, CA 92630-6303 | 2017-07-07 |
| 1689083222 | Timothy J. Verna | Psychologist | 25535 Fallenwood, Lake Forest, CA 92630-6458 | 2014-08-07 |
| 1730473778 | Monte George Pries | Psychologist | 23736 Birtcher Dr, Lake Forest, CA 92630-1771 | 2011-06-07 |
| 1881796647 | Noemi Bancod-mcinnes | Psychologist | 22865 Lake Forest Dr # 116, Lake Forest, CA 92630-1605 | 2006-09-02 |
| 1417316670 | Anupama Harvey | Psychologist | 225 E Deerpath Ste 280, Lake Forest, IL 60045-1973 | 2016-02-16 |
| 1265692628 | Hassan J. Afshar | Psychologist | 22471 Aspan St, Suite 103, Lake Forest, CA 92630-1642 | 2008-06-10 |
| 1396940441 | Kathryn Bailey | Psychologist | 22792 Centre Dr, Suite 290, Lake Forest, CA 92630-6304 | 2007-06-19 |
| 1245435270 | Orange County Association for Mental Health | Psychologist | 22471 Aspan St, Suite 103, Lake Forest, CA 92630-1642 | 2007-06-19 |
| 1265589535 | Lola Coxford Brown | Psychologist | 23832 Rockfield Blvd, Suite 150, Lake Forest, CA 92630-2805 | 2007-01-05 |
| 1336223650 | Janis Marie Corbin | Psychologist | 23832 Rockfield Blvd, Ste 150, Lake Forest, CA 92630-2805 | 2006-10-24 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on GREG KLASSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.