Provider Demographics
NPI:1043842974
Name:INSIGHT PSYCHOLOGY CENTER, INC.
Entity Type:Organization
Organization Name:INSIGHT PSYCHOLOGY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:SHERILYN
Authorized Official - Last Name:INCLEDON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:949-630-0630
Mailing Address - Street 1:27 GREENMOOR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-7467
Mailing Address - Country:US
Mailing Address - Phone:949-466-8686
Mailing Address - Fax:949-688-5577
Practice Address - Street 1:1101 DOVE ST STE 190
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2827
Practice Address - Country:US
Practice Address - Phone:949-630-0630
Practice Address - Fax:949-688-5577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-08
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty