UC IRVINE HEALTH - DEPT. OF PSYCHIATRY (NPI# 1922474113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922474113 |
| Entity Type | Organization |
| Organization Name | UC IRVINE HEALTH - DEPT. OF PSYCHIATRY |
| Practice Address |
19722 Macarthur Blvd Irvine CA 92612-2404 |
| Mailing Address |
Po Box 54739 Los Angeles CA 90054-0739 |
| Practice Telephone | 7144565902 |
| Practice Fax Number | 7144565112 |
| Mailing Telephone | 7144563760 |
| Mailing Fax Number | 7144562398 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-13 |
| Authorized Official Name | DR. MANUEL PORTO (PRESIDENT & CEO) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
19722 MACARTHUR BLVD |
| City | IRVINE |
| State | CA |
| Zip Code | 92612-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134236250 | Uci Psych Practice Group | Psychiatry & Neurology | 19722 Macarthur Blvd, Irvine, CA 92612-2404 | 2006-08-24 |
| 1265096465 | Natalia Ullrich | Dietitian, Registered | 19722 Macarthur Blvd, Irvine, CA 92612-2404 | 2019-04-24 |
| 1316501539 | Diane Basurto | Dietitian, Registered | 19722 Macarthur Blvd, Irvine, CA 92612-2404 | 2019-04-23 |
| 1851747356 | Uc Irvine Health Weight Management - Irvine | Clinic/Center | 19722 Macarthur Blvd, Irvine, CA 92612-2404 | 2016-05-13 |
| 1366838914 | Kelly Rubenstein | Dietitian, Registered | 19722 Macarthur Blvd, Irvine, CA 92612 | 2015-04-10 |
| 1083921993 | Audrey Dorothy Kapelinski | Social Worker | 19722 Macarthur Blvd, Irvine, CA 92612-2404 | 2010-09-13 |
| 1205154648 | Sharon B Wigal | Psychologist | 19722 Macarthur Blvd, Irvine, CA 92612-2404 | 2010-05-10 |
| 1679891253 | Tim L Wigal | Psychologist | 19722 Macarthur Blvd, Irvine, CA 92612-2404 | 2010-05-06 |
| 1730312729 | Alya Khan | Internal Medicine | 19722 Macarthur Blvd, Irvine, CA 92612-2404 | 2009-08-25 |
| 1073742854 | Jean Gehricke | Psychologist | 19722 Macarthur Blvd, Irvine, CA 92612-2404 | 2009-07-14 |
| Find all providers in the same location | ||||
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356761431 | Nanu Medical Corp | Clinic/Center | 22 Odyssey Ste 240, Irvine, CA 92618-7700 | 2014-04-16 |
| 1205433083 | Trauma Therapy Ca Psychology Corporation | Clinic/Center | 19712 Macarthur Blvd Ste 110, Irvine, CA 92612-2407 | 2020-10-05 |
| 1144843814 | Kamala Thomas Psychological Services Corp | Clinic/Center | 15615 Alton Pkwy, Irvine, CA 92618-3341 | 2020-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365652 | Hearts for Sight Foundation | Clinic/Center | 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 | 2020-10-28 |
| 1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
| 1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
| 1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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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.