Organization · Type 2 NPI

County of Orange

Adolescent and Children Mental Health Clinic/Center · Brea, CA

NPI number 1962549774 Active

Practice location

120 S State College Blvd Ste 150
Brea, CA 92821-5807

Call (714) 577-5400 Map

Fax (714) 577-5450

Mailing address

405 W 5th St Ste 212
Santa Ana, CA 92701-4522

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

27 other providers at this address

Other adolescent and children mental health clinic/center providers in Brea

Rowi North Orange LLCAdolescent and Children Mental Health Clinic/Center Brea, CA NPI 1417632779

See all in Brea →

NPI record

NPI: 1962549774
Entity type: Organization (Type 2)
Issued: Jan 31, 2007
Last updated: Dec 20, 2019
Status: Active
Subpart: Yes of County of Orange

Other names

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Cys North Region · doing business as
Cys North Region · doing business as

Authorized official

Dr. Chi Y Rajalingam, PhD, CHC
Chief Compliance Officer
(714) 834-3154

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962549774

County of Orange's National Provider Identifier is 1962549774, issued on Jan 31, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Brea, CA. The record was last updated on Dec 20, 2019.