Healthcare Provider Details

I. General information

NPI: 1942851746
Provider Name (Legal Business Name): SCHOLARSHIP PREP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2019
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 W 17TH ST
SANTA ANA CA
92706-3504
US

IV. Provider business mailing address

313 N BIRCH ST STE 103
SANTA ANA CA
92701-5263
US

V. Phone/Fax

Practice location:
  • Phone: 714-795-3498
  • Fax:
Mailing address:
  • Phone: 714-795-3729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: SARAH SCHOENFELD-NAKAMOTO
Title or Position: COO
Credential:
Phone: 714-795-3729