Healthcare Provider Details

I. General information

NPI: 1285573766
Provider Name (Legal Business Name): SUSAN CASEY PPS - SCHOOL PSYCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 N HANDY ST
ORANGE CA
92867-4434
US

IV. Provider business mailing address

1440 N BLAKE ST
ORANGE CA
92867-3701
US

V. Phone/Fax

Practice location:
  • Phone: 714-321-2525
  • Fax:
Mailing address:
  • Phone: 714-321-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: