Healthcare Provider Details

I. General information

NPI: 1972420321
Provider Name (Legal Business Name): MIND MAP PSYCHOLOGICAL & ASSESSMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 FOUNTAINHEAD
IRVINE CA
92618-0803
US

IV. Provider business mailing address

238 FOUNTAINHEAD
IRVINE CA
92618-0803
US

V. Phone/Fax

Practice location:
  • Phone: 949-385-2621
  • Fax:
Mailing address:
  • Phone: 949-385-2621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SAYEH GHAZIZADEH
Title or Position: PRESIDENT
Credential: LICENSED CLINICAL PS
Phone: 949-385-2621