Healthcare Provider Details

I. General information

NPI: 1033474697
Provider Name (Legal Business Name): ACCEL THERAPIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2012
Last Update Date: 11/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 DOVE ST STE 202
NEWPORT BEACH CA
92660-2853
US

IV. Provider business mailing address

1151 DOVE ST STE 150
NEWPORT BEACH CA
92660-2837
US

V. Phone/Fax

Practice location:
  • Phone: 949-630-8290
  • Fax: 949-396-1242
Mailing address:
  • Phone: 949-630-8290
  • Fax: 949-396-1242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: PATRICK MOYNIHAN
Title or Position: PRESIDENT
Credential:
Phone: 939-629-7030