DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ILLUMINATE PSYCHOLOGICAL SERVICES, PC

Active Organization

ILLUMINATE PSYCHOLOGICAL SERVICES, PC is a Clinical Psychologist organization located in IRVINE, California. NPI 1144894114 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · IRVINE, CA

Registration Details

NPI Number
1144894114
Provider Type
Organization
NPI Issued
May 14, 2021 (5.2753779631972 yrs)
Last Updated
May 28, 2021

Practice Information

Address
2082 MICHELSON DR STE 215-216
IRVINE, CA, 926121212
Browse CA providers · Browse ZIP 92612
Phone
5627879911
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Geriatric Psychologist
Additional Specialty
Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.