JACQLYN QUINTINA WAX PSY.D
NPI 1063033611
Psychologist in Mission Viejo, CA

Q: What is the provider's specialty?

The provider's specialty is Psychologist with taxonomy code 103T00000X.

NPI Status: Active since May 05, 2020

Contact Information

27201 PUERTA REAL STE 300
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 354-4147

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NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: July 12, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Psychologist

About JACQLYN WAX

This page provides the complete NPI Profile along with additional information for Jacqlyn Wax, a provider established in Mission Viejo, California with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1063033611 assigned on May 2020. The practitioner's primary taxonomy code is 103T00000X with license number PSB94024446 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI: 1063033611
Provider Name: JACQLYN QUINTINA WAX PSY.D
Gender: Female
Entity Type: Individual
Location Address: 27201 PUERTA REAL STE 300 MISSION VIEJO, CA 92691
Location Phone: (949) 354-4147
Mailing Address: 1206 BLUE SKY DR CARDIFF, CA 92007
Mailing Phone: (858) 213-7243
Is Sole Proprietor?: No
Enumeration Date: 05-05-2020
Last Update Date: 05-05-2020
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A psychologist like Jacqlyn Wax studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Psychologist
Taxonomy Code: 103T00000X
Type: Behavioral Health & Social Service Providers
License No.: PSB94024446
License State: CA
Taxonomy Description: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063033611, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 12 → 1 + 2

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 0 + 3 + 6 + 6 + 2 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1

This NPI is valid

The calculated check digit is 1, which matches the last digit of 1063033611.