CHILDREN'S HOSPITAL OF ORANGE COUNTY NPI 1659918852

NPI Information

NPI: 1659918852
Provider Name: CHILDREN'S HOSPITAL OF ORANGE COUNTY
Classification: Psychologist - 103TC2200X
Specialization: Clinical Child & Adolescent
Entity Type: Organization
Address: 170 S MAIN ST
ORANGE, CA
ZIP 92868
Phone: (714) 288-7651

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NPI Details

CHILDREN'S HOSPITAL OF ORANGE COUNTY is a clinical child and adolescent psychologist in Orange, CA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. CHILDREN'S HOSPITAL OF ORANGE COUNTY NPI is 1659918852. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

170 S MAIN ST
ORANGE, CA
ZIP 92868-801
Phone: (714) 288-7651
Fax: (714) 288-7379

The provider's authorized official is Mark Kelly .
The authorized official title is Director, Revenue Cycle Support and has the following contact phone number (714) 509-7861.

The enumeration date for this NPI number is 12/6/2019 and was last updated on 12/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103T00000X	Psychologist		No
2	103TB0200X	Psychologist	Cognitive & Behavioral	No
3	103TC2200X	Psychologist	Clinical Child & Adolescent	Yes
4	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	No
5	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
6	106E00000X	Assistant Behavior Analyst		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1093102766	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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