Healthcare Provider Details

I. General information

NPI: 1467922492
Provider Name (Legal Business Name): PERSPECTIVE PSYCHOLOGICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2018
Last Update Date: 07/14/2020
Certification Date: 07/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SANSOME ST STE 3500
SAN FRANCISCO CA
94104-4436
US

IV. Provider business mailing address

24901 HON AVE
LAGUNA HILLS CA
92653-4317
US

V. Phone/Fax

Practice location:
  • Phone: 949-280-4554
  • Fax:
Mailing address:
  • Phone: 949-280-4554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MONA REDJA
Title or Position: CEO
Credential: PSYD
Phone: 949-280-4554