Well Street Psychological Inc.

LBN: Well Street Psychological Inc.
Well Street Psychological Inc. is an health care organization with primary practice located at 100 S Imperial Hwy , Anaheim CA 92807-3943. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Well Street Psychological Inc. can be contacted via phone (714) 730-9355, or through Eaton, Martin J via phone (714) 730-9355.

Contact Information

Primary practice address
100 S Imperial Hwy Anaheim CA 92807-3943
Phone: (714) 730-9355
Fax: (714) 730-9355
Website:
Map and Directions
Authorized official contact:
Name: Eaton, Martin J PH.D
Phone: (714) 730-9355

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY15533 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY15533 California
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY15533 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY15533 California

Profile Details

NPI number 1760936835
LBN Legal business name Well Street Psychological Inc.
DBA Doing business as
Authorized official Eaton, Martin J PH.D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2016
Last updated Aug 6th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760936835 NPPES
California Other PSY15533 PSYCHOLOGIST LICENSE

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