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

Q: 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.

Q: 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.

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: August 16, 2026.

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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

Phone(714) 453-0688

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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.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

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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.

MRS. KATELYN HENKA M.S., CCC-SLP

Speech-Language Pathologist

1110 E CHAPMAN AVE, SUITE 203
ORANGE, CA 92866

Orange County (714) 453-9323

DAVID B. CIMINSKI, O.D.

Optometrist

1110 E CHAPMAN AVE, SUITE#107
ORANGE, CA 92866

Orange County (714) 532-4900

DR. BAO-THY NGOC GRANT D.D.S.

Dentist (Oral and Maxillofacial Surgery)

1110 E CHAPMAN AVE, SUITE 100
ORANGE, CA 92866

Orange County (714) 771-7677

DR. YUN SUK CHONG MD

Psychiatry & Neurology (Psychiatry)

1110 E CHAPMAN AVE, SUITE 203
ORANGE, CA 92866

Orange County (714) 453-0688

DR. DAVID B CIMINSKI O.D.

Optometrist

1110 E CHAPMAN AVE, SUITE 107
ORANGE, CA 92866

Orange County (714) 532-4900

DONNA ARMFIELD HUME L.C.S.W.

Social Worker (Clinical)

1110 E CHAPMAN AVE, SUITE 204
ORANGE, CA 92866

Orange County (714) 453-0688

LANGUAGE 2 LITERACY

Speech-Language Pathologist

1110 E CHAPMAN AVE, SUITE 203
ORANGE, CA 92866

Orange County (714) 623-1067

CRAIG J MILHOUSE MD INC

Internal Medicine

1110 E CHAPMAN AVE, SUITE 101
ORANGE, CA 92866

Orange County (714) 532-7272

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.