DR. SAMUEL L DAMBROCIA JR.


Address: 7 Corporate Park, Suite 250, Irvine, CA 92606-5107
Phone: 9492220811

DR. SAMUEL L DAMBROCIA JR. (NPI# 1902927122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902927122
Entity Type Individual
Full Name DR. SAMUEL L DAMBROCIA JR.
Credential PH.D.
Practice Address 7 Corporate Park
Suite 250
Irvine
CA 92606-5107
Mailing Address 1965 Vista Caudal
Newport Beach
CA 92660-3915
Practice Telephone 9492220811
Practice Fax Number 9497571782
Mailing Telephone 9497189698
Mailing Fax Number 9497571782
Enumeration Date 2007-04-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY11148 CA Behavioral Health & Social Service Providers

Office Location

Street Address 7 CORPORATE PARK
SUITE 250
City IRVINE
State CA
Zip Code 92606-5107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932265980 Barry Charles Ross Psychologist 7 Corporate Park, Suite 235, Irvine, CA 92606-5107 2006-12-27
1073679007 Suzanne Rhonda Onikul-ross Psychologist 7 Corporate Park, Suite 235, Irvine, CA 92606-5107 2006-12-27
1124184163 Ross Associates, A Psychological Corporation Psychologist 7 Corporate Park, Suite 235, Irvine, CA 92606-5107 2006-12-27
1255402657 Laurence David Becker Psychologist 7 Corporate Park, Suite 250, Irvine, CA 92606-5107 2006-11-10

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

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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
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Competitor

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City IRVINE
Zip Code 92606

Improve Information

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Dataset Information

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.

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