Provider Demographics
NPI:1467122655
Name:INPSYCHT SERVICES
Entity Type:Organization
Organization Name:INPSYCHT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:714-721-8838
Mailing Address - Street 1:111 W HARRISON ST UNIT 205
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92878-4099
Mailing Address - Country:US
Mailing Address - Phone:714-721-8838
Mailing Address - Fax:714-922-8149
Practice Address - Street 1:2230 W CHAPMAN AVE STE 209
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2316
Practice Address - Country:US
Practice Address - Phone:714-721-8838
Practice Address - Fax:714-922-8149
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INPSYCHT PSYCHOLOGICAL SERVICES, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty