Healthcare Provider Details

I. General information

NPI: 1720917420
Provider Name (Legal Business Name): MARK STEPHEN SCHWARTZ AMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 VENTURE STE 340
IRVINE CA
92618-7330
US

IV. Provider business mailing address

17200 NEWHOPE ST APT 234
FOUNTAIN VALLEY CA
92708-4238
US

V. Phone/Fax

Practice location:
  • Phone: 949-750-4777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberAMFT161987
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: