Provider Demographics
NPI:1437583978
Name:COGNITIVE CARE SOLUTIONS INC
Entity Type:Organization
Organization Name:COGNITIVE CARE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOJTKOFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:714-545-3390
Mailing Address - Street 1:1526 BROOKHOLLOW DR
Mailing Address - Street 2:SUITE 73
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-5421
Mailing Address - Country:US
Mailing Address - Phone:714-545-3390
Mailing Address - Fax:
Practice Address - Street 1:1526 BROOKHOLLOW DR
Practice Address - Street 2:SUITE 73
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-5421
Practice Address - Country:US
Practice Address - Phone:714-545-3390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-31
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25678103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty