Healthcare Provider Details

I. General information

NPI: 1427941657
Provider Name (Legal Business Name): SBW PSYCHOLOGICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 N ROSE DR STE 110
PLACENTIA CA
92870-3919
US

IV. Provider business mailing address

135 S STATE COLLEGE BLVD STE 200
BREA CA
92821-5805
US

V. Phone/Fax

Practice location:
  • Phone: 626-283-5852
  • Fax: 626-280-3110
Mailing address:
  • Phone: 626-283-5852
  • Fax: 626-280-3110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. SARWAT BASHIR WARAICH
Title or Position: PSYCHOLOGIST
Credential: PSYD
Phone: 626-283-5852