Healthcare Provider Details
I. General information
NPI: 1629982970
Provider Name (Legal Business Name): STENELLA PSYCHOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27201 PUERTA REAL STE 300
MISSION VIEJO CA
92691-8590
US
IV. Provider business mailing address
27201 PUERTA REAL STE 300
MISSION VIEJO CA
92691-8590
US
V. Phone/Fax
- Phone: 714-494-3714
- Fax:
- Phone: 714-494-3714
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
CHRISTINA
AMIOT
Title or Position: OWNER
Credential: PSYD
Phone: 714-494-3714