Healthcare Provider Details

I. General information

NPI: 1467122655
Provider Name (Legal Business Name): INPSYCHT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2021
Last Update Date: 09/17/2021
Certification Date: 09/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 W CHAPMAN AVE STE 209
ORANGE CA
92868-2316
US

IV. Provider business mailing address

111 W HARRISON ST UNIT 205
CORONA CA
92878-4099
US

V. Phone/Fax

Practice location:
  • Phone: 714-721-8838
  • Fax: 714-922-8149
Mailing address:
  • Phone: 714-721-8838
  • Fax: 714-922-8149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LAUREN ASHLEY SHAPIRO
Title or Position: OWNER
Credential: PSYD
Phone: 714-721-8838