MIND WELL PSYCHOLOGICAL SERVICES, PC
NPI 1053740746
Psychologist - Clinical in Redondo Beach, CA

Active since November 04, 2013
648 AVENUE B, REDONDO BEACH, CA 90277(708) 466-6443 Get Directions Write a Review

NPPES record last updated: November 4, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mind Well Psychological Services, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND WELL PSYCHOLOGICAL SERVICES, PC (NPI 1053740746) is a healthcare organization registered as a clinical in Redondo Beach, California and active in the NPI registry since November 2013. The organization lists Lori Q Chaib, Director, as its authorized official.

NPPES Registry Identity

NPI1053740746
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMIND WELL PSYCHOLOGICAL SERVICES, PC
Location Address648 AVENUE BRedondo Beach, CA 90277-4829
Mailing Address648 Avenue BRedondo Beach, CA 90277-4829 · (708) 466-6443
Organization SubpartNo
Authorized OfficialLori Q ChaibDirector · (708) 466-6443
Enumeration DateNovember 4, 2013
NPI 1053740746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY25255
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

648 AVENUE B, Redondo Beach, CA 90277

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
648 AVENUE B
REDONDO BEACH, CA 90277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind Well Psychological Services, PC's NPI number?

The NPI number for Mind Well Psychological Services, PC is 1053740746. It was assigned to this organization in the NPPES registry on November 4, 2013.

Where is Mind Well Psychological Services, PC located?

Mind Well Psychological Services, PC is located at 648 Avenue B, Redondo Beach, CA 90277. The listed phone number is (708) 466-6443.

What is Mind Well Psychological Services, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mind Well Psychological Services, PC was last updated on November 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.