Healthcare Provider Details

I. General information

NPI: 1265396618
Provider Name (Legal Business Name): CHELSEA ANN CASS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S EAST ST
ANAHEIM CA
92805-5749
US

IV. Provider business mailing address

714 WAGON WHEEL CIR
BREA CA
92821-3472
US

V. Phone/Fax

Practice location:
  • Phone: 714-517-8923
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: