SOCAL CENTER FOR CHANGE
NPI 1104183292
Psychologist - Prescribing (Medical) in Orange, CA

Active since April 13, 2012
1110 E CHAPMAN AVE, SUITE 204, ORANGE, CA 92866(714) 453-0688(714) 453-0691 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Socal Center For Change NPPES

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

SOCAL CENTER FOR CHANGE (NPI 1104183292) is a healthcare organization registered as a prescribing (medical) in Orange, California and active in the NPI registry since April 2012. The organization lists Geoffrey Phillips, President, as its authorized official.

NPPES Registry Identity

NPI1104183292
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NameSOCAL CENTER FOR CHANGE
Location Address1110 E CHAPMAN AVE, SUITE 204Orange, CA 92866-2139
Mailing Address1110 E Chapman Ave, Suite 204Orange, CA 92866-2139 · (714) 453-0688 · Fax (714) 453-0691
Fax(714) 453-0691
Organization SubpartNo
Authorized OfficialGeoffrey PhillipsPresident · (714) 453-0688
Enumeration DateApril 13, 2012
NPI 1104183292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

1110 E CHAPMAN AVE, Orange, CA 92866

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 13

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

Speech-Language Pathologist
1110 E CHAPMAN AVE, SUITE 203
ORANGE, CA 92866
Optometrist
1110 E CHAPMAN AVE, SUITE#107
ORANGE, CA 92866
Dentist (Oral and Maxillofacial Surgery)
1110 E CHAPMAN AVE, SUITE 100
ORANGE, CA 92866
Psychiatry & Neurology (Psychiatry)
1110 E CHAPMAN AVE, SUITE 203
ORANGE, CA 92866
Optometrist
1110 E CHAPMAN AVE, SUITE 107
ORANGE, CA 92866
Social Worker (Clinical)
1110 E CHAPMAN AVE, SUITE 204
ORANGE, CA 92866
Speech-Language Pathologist
1110 E CHAPMAN AVE, SUITE 203
ORANGE, CA 92866
Internal Medicine
1110 E CHAPMAN AVE, SUITE 101
ORANGE, CA 92866

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 Socal Center For Change's NPI number?

The NPI number for Socal Center For Change is 1104183292. It was assigned to this organization in the NPPES registry on April 13, 2012.

Where is Socal Center For Change located?

Socal Center For Change is located at 1110 E Chapman Ave Suite 204, Orange, CA 92866. The listed phone number is (714) 453-0688.

What is Socal Center For Change's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Socal Center For Change was last updated on April 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.