ACACIA PSYCHOLOGICAL CORPORATION (NPI# 1770148827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770148827 |
| Entity Type | Organization |
| Organization Name | ACACIA PSYCHOLOGICAL CORPORATION |
| Practice Address |
4255 Campus Dr Ste A245 Irvine CA 92612-8630 |
| Mailing Address |
281 Magnolia Ave Ste 300 Goleta CA 93117-3608 |
| Practice Telephone | 8886994873 |
| Practice Fax Number | 8054726099 |
| Mailing Telephone | 8054726099 |
| Mailing Fax Number | 8054726099 |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |
| Authorized Official Name | MS. JESS RODRIGUEZ (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Telephone | 8054726099 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACACIA PSYCHOLOGICAL CORPORATIOM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Acacia Counseling & Wellness | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386139087 | Acacia Psychological Corporation | Psychologist | 1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437 | 2018-06-25 |
| 1043757925 | Acacia Psychological Corporation | Counselor | 2720 University Ave Se, Unit B, Minneapolis, MN 55414-3210 | 2017-01-30 |
| 1295279883 | Acacia Psychological Corporation | Psychologist | 207 E St Ste B, Davis, CA 95616-4523 | 2016-12-15 |
| 1053912477 | Acacia Psychological Corporation | Psychologist | 5900 Balcones Dr Ste 100, Austin, TX 78731-4298 | 2020-11-03 |
| 1962061739 | Acacia Psychological Corporation | Psychologist | 740 Front St Ste 220, Santa Cruz, CA 95060-4536 | 2019-06-06 |
| 1316415359 | Acacia Psychological Corporation | Psychologist | 8950 Villa La Jolla Dr Ste C121, La Jolla, CA 92037-1707 | 2018-11-07 |
| 1033561147 | Acacia Psychological Corporation | Psychologist | 948 Embarcadero Del Norte Ste 102, Goleta, CA 93117-5106 | 2016-07-13 |
| Street Address |
4255 CAMPUS DR STE A245 |
| City | IRVINE |
| State | CA |
| Zip Code | 92612-8630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942626973 | Sandy Yokoyama | Marriage & Family Therapist | 4255 Campus Dr Ste A245, Irvine, CA 92612-8630 | 2014-03-14 |
| 1740898972 | Jeffrey Sherman Burdick | Social Worker | 4255 Campus Dr Ste A245, Irvine, CA 92612-8630 | 2020-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
| 1952959207 | Dorothy Dawn Malsack | Dietitian, Registered | 20 Pergola, Irvine, CA 92612 | 2019-08-29 |
| 1992350508 | Masi Hashemian Dds Inc | Dentist | Park Place Dentistry, 2981 Michelson Dr., Suite #b, Irvine, CA 92612 | 2019-08-09 |
| 1518426907 | Linklan Logistics Inc | Transportation Broker | 19200 Von Karman Ave Ste 612, Irvine, CA 92612 | 2019-03-15 |
| 1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
| 1871033365 | Livhome, Inc. | In Home Supportive Care | 19762 Macarhtur Blvd, Suite 120, Irvine, CA 92612 | 2017-03-02 |
| 1073061511 | Susan Nguyen | Marriage & Family Therapist | 2081 Business Center Dr Ste 109, Irvine, CA 92612 | 2016-09-13 |
| 1043617574 | Jason Polhamus | Community Health Worker | 4885 Royce Rd, Irivne, CA 92612 | 2014-11-26 |
| 1013313386 | Marisa Lepore | Marriage & Family Therapist | 19742 Centerpointe Plaza, Suite #125, Irvine, CA 92612 | 2014-11-13 |
| 1558798462 | Fatima Manesh | Acupuncturist | 8 Palmento Way, Irvine, CA 92612 | 2013-10-09 |
| Find all providers in zip 92612 | ||||
| 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 |
|---|---|---|---|---|
| 1932559614 | Sandra Finestone | Psychologist | 17952 Sky Park Cir, Suite J, Irvine, CA 92614-6411 | 2016-06-14 |
| 1336568625 | Ravi R Chand Md Inc | Psychologist | 40 Paso Robles, Irvine, CA 92602-1091 | 2014-04-15 |
| 1851644686 | Daphna Hollander | Psychologist | 1 League Unit 61252, Irvine, CA 92602-7057 | 2012-10-17 |
| 1841540010 | Yuli Liu | Psychologist | 2082 Michelson Dr Ste 100, Irvine, CA 92612-1212 | 2012-09-14 |
| 1881974293 | Keiha Ayn Edwards | Psychologist | 10402 Spectrum, Irvine, CA 92618-3402 | 2011-08-17 |
| 1326326810 | Norma M Ouyang | Psychologist | 45 Willow Tree Ln, Irvine, CA 92612-2252 | 2011-08-01 |
| 1669789343 | Lisa Jeaneen Grajewski | Psychologist | 19800 Macarthur Blvd Ste 300, Irvine, CA 92612-2479 | 2010-09-02 |
| 1467773770 | Meghan J Marcum | Psychologist | 1 Park Plz Ste 600, Irvine, CA 92614-5987 | 2010-06-21 |
| 1073836300 | Shirin Khanideh | Psychologist | 8 Corporate Park Ste 300, Irvine, CA 92606-5196 | 2010-03-01 |
| 1265661433 | John Andrew Yzaguirre | Psychologist | 2061 Business Center Dr Ste 101, Irvine, CA 92612-1107 | 2009-07-09 |
| Find all providers in IRVINE | ||||
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| 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.