CAROLYN KORBEL (NPI# 1700268307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700268307 |
| Entity Type | Individual |
| Full Name | CAROLYN KORBEL |
| Credential | PH.D. |
| Practice Address |
13 Orchard Suite 103 Lake Forest CA 92630-8320 |
| Mailing Address |
31 San Sebastian Rancho Santa Margarita CA 92688-2506 |
| Practice Telephone | 9498373358 |
| Practice Fax Number | 9498370274 |
| Mailing Telephone | 9498373358 |
| Mailing Fax Number | 9498370274 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PSY25176 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY25176 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY25176 | CA | Behavioral Health & Social Service Providers |
| Street Address |
13 ORCHARD SUITE 103 |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-8320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376755017 | Lisa Anne Fasnacht Hill | Psychologist | 13 Orchard, Suite 103, Lake Forest, CA 92630 | 2007-05-04 |
| 1083954325 | David M. Lechuga, Ph.d., A.p.c. | Clinical Neuropsychologist | 13 Orchard, Suite 103, Lake Forest, CA 92630-8320 | 2013-02-24 |
| 1033372842 | Debra Michel Brancato | Social Worker | 13 Orchard, Suite 103, Lake Forest, CA 92630-8320 | 2008-07-02 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427437243 | Bahram Marzban | Psychologist | 22482 Rippling Brk, Lake Forest, CA 92630-5625 | 2015-05-26 |
| 1437563327 | Kendra Klassen | Psychologist | 23792 Rockfield Blvd Ste 290, Lake Forest, CA 92630-2819 | 2014-06-18 |
| 1285998120 | Elizabeth Fishman | Psychologist | 950 N Western Ave Ste 1a, Lake Forest, IL 60045-1734 | 2012-06-26 |
| 1730485137 | Linda Lifur-bennett | Psychologist | 22772 Centre Dr, Suite 180, Lake Forest, CA 92630-6303 | 2011-02-01 |
| 1205146958 | John Eliot Leffel | Psychologist | 222 E Wisconsin Ave, Suite 108, Lake Forest, IL 60045-1735 | 2010-10-15 |
| 1760716179 | Kara Cross | Psychologist | 26052 Ramjit Ct, Lake Forest, CA 92630-5535 | 2009-10-01 |
| 1245417856 | Silvia Vaughn | Psychologist | 23600 El Toro Rd # D163, Lake Forest, CA 92630-4710 | 2008-01-25 |
| 1376755017 | Lisa Anne Fasnacht Hill | Psychologist | 13 Orchard, Suite 103, Lake Forest, CA 92630 | 2007-05-04 |
| 1154541522 | David Scott Levin | Psychologist | 272 E Deerpath Rd, Suite 242, Lake Forest, IL 60045-5314 | 2007-04-26 |
| 1760506265 | Clouia Poock Rath | Psychologist | 579 Ryan Pl, Lake Forest, IL 60045-2436 | 2007-03-19 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on CAROLYN KORBEL.
| 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.