Healthcare Provider Details

I. General information

NPI: 1346077450
Provider Name (Legal Business Name): C.A.A.T. PSYCHOLOGICAL SERVICES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2024
Last Update Date: 09/14/2024
Certification Date: 09/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21065 VIA TOLEDO
YORBA LINDA CA
92887-2455
US

IV. Provider business mailing address

21065 VIA TOLEDO
YORBA LINDA CA
92887-2455
US

V. Phone/Fax

Practice location:
  • Phone: 714-357-7810
  • Fax:
Mailing address:
  • Phone: 714-357-7810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY SHADER
Title or Position: PRESIDENT
Credential: PHD
Phone: 657-234-2206