DR. CAROLINE ANN PROUVOST
NPI 1396092565
Psychologist - Clinical in Tustin, CA

Q: What is Caroline Prouvost's NPI number?

The NPI number for Caroline Prouvost is 1396092565. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Q: What is Caroline Prouvost's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Caroline Prouvost was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since August 07, 2012

13217 JAMBOREE RD #161, TUSTIN, CA 92782(714) 253-7710 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, Mar 12, 2026 (2 updates tracked since 2026).

On this page

About Dr. Caroline Ann Prouvost NPPES

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

DR. CAROLINE ANN PROUVOST (NPI 1396092565) is an individual clinical provider in Tustin, California, licensed in California (PSY30457) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1396092565

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CAROLINE ANN PROUVOST

Location Address13217 JAMBOREE RD #161Tustin, CA 92782

Mailing Address13217 Jamboree Rd #161Tustin, CA 92782 · (714) 253-7710

Phone(714) 253-7710

Sole ProprietorYes

Enumeration DateAugust 7, 2012

Last NPPES UpdateApril 30, 20262 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1396092565 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 · PSY30457

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.

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 Caroline Prouvost's NPI number?

The NPI number for Caroline Prouvost is 1396092565. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Where is Caroline Prouvost located?

Caroline Prouvost practices at 13217 Jamboree Rd #161, Tustin, CA 92782. The listed phone number is (714) 253-7710.

What is Caroline Prouvost'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 Caroline Prouvost was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.