BOYS TOWN CALIFORNIA, INC. (NPI# 1922448026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922448026 |
| Entity Type | Organization |
| Organization Name | BOYS TOWN CALIFORNIA, INC. |
| Practice Address |
2223 E Wellington Ave Ste 350 Santa Ana CA 92701-3109 |
| Practice Telephone | 7145580303 |
| Practice Fax Number | 7145580324 |
| Mailing Telephone | 7145580303 |
| Mailing Fax Number | 7145580318 |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2016-12-28 |
| Authorized Official Name | MR. LAWREN RAMOS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7145580303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295270338 | Boys Town California, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 15405 Lansdowne Rd Ste B, Tustin, CA 92782-0201 | 2016-12-28 |
| 1164964052 | Boys Town California, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20342 Flanagan Rd, Trabuco Canyon, CA 92679-0975 | 2016-11-09 |
| 1548712060 | Boys Town California, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20302 Flanagan Rd, Trabuco Canyon, CA 92679-0975 | 2016-11-01 |
| 1417409988 | Boys Town California, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20371 Flanagan Rd, Trabuco Canyon, CA 92679-0975 | 2016-10-31 |
| 1740732239 | Boys Town California, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20331 Flanagan Rd, Trabuco Canyon, CA 92679-0975 | 2016-10-31 |
| Street Address |
2223 E WELLINGTON AVE STE 350 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| 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 |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1760039853 | Jenna Syverson | Psychologist | 200 W Santa Ana Blvd Ste 208, Santa Ana, CA 92701-4134 | 2019-08-22 |
| 1396264941 | Shirin Mostofi | Psychologist | 200 W Santa Ana Blvd Ste 201, Santa Ana, CA 92701-4134 | 2017-09-14 |
| 1275088940 | James Vandervest | Psychologist | 1851 Cockscrow Ln, Santa Ana, CA 92705-3422 | 2016-08-23 |
| 1134556160 | Hailey Michelle Hollers | Psychologist | 405 W 5th St # 658, Santa Ana, CA 92701-4599 | 2013-10-04 |
| 1922396084 | Iris Richardson | Psychologist | 2223 E Wellington Ave, Suite 350, Santa Ana, CA 92701-3161 | 2011-07-11 |
| 1184916470 | Betty Minehan | Psychologist | 101 S. Grand Ave, Santa Ana, CA 92705 | 2011-05-05 |
| 1851612113 | Alison Eve Stanley | Psychologist | 2315 Fairmont Ave, Santa Ana, CA 92706-2007 | 2010-06-21 |
| 1730373887 | Robert Goode Patterson | Psychologist | 2030 E 4th Street, 122a, Santa Ana, CA 92705-3920 | 2007-08-31 |
| 1548488315 | John Daniel Carter | Psychologist | 2130 East Fourth, Ste 107, Santa Ana, CA 92705-3818 | 2007-04-24 |
| Find all providers in SANTA ANA | ||||
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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.