IVY GLENN WELLNESS
NPI 1417428665
Psychologist in Laguna Niguel, CA

Active since December 16, 2018
30011 IVY GLENN DR STE 216, LAGUNA NIGUEL, CA 92677(949) 484-9161 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivy Glenn Wellness NPPES

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

IVY GLENN WELLNESS (NPI 1417428665) is a healthcare organization registered as a psychologist in Laguna Niguel, California and active in the NPI registry since December 2018. The organization lists Kristin Bachman, Owner, as its authorized official.

NPPES Registry Identity

NPI1417428665
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameIVY GLENN WELLNESS
Location Address30011 IVY GLENN DR STE 216Laguna Niguel, CA 92677-5018
Mailing Address30011 Ivy Glenn Dr Ste 216Laguna Niguel, CA 92677-5018 · (949) 484-9161
Organization SubpartNo
Authorized OfficialKristin BachmanOwner · (858) 663-0651
Enumeration DateDecember 16, 2018
NPI 1417428665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
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.
30011 IVY GLENN DR STE 216, Laguna Niguel, CA 92677

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 4

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

Dietitian, Registered
30011 IVY GLENN DR STE 216
LAGUNA NIGUEL, CA 92677
Marriage & Family Therapist
30011 IVY GLENN DR STE 216
LAGUNA NIGUEL, CA 92677
Marriage & Family Therapist
30011 IVY GLENN DR STE 216
LAGUNA NIGUEL, CA 92677
Marriage & Family Therapist
30011 IVY GLENN DR STE 216
LAGUNA NIGUEL, CA 92677

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 Ivy Glenn Wellness's NPI number?

The NPI number for Ivy Glenn Wellness is 1417428665. It was assigned to this organization in the NPPES registry on December 16, 2018.

Where is Ivy Glenn Wellness located?

Ivy Glenn Wellness is located at 30011 Ivy Glenn Dr Ste 216, Laguna Niguel, CA 92677. The listed phone number is (949) 484-9161.

What is Ivy Glenn Wellness's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Ivy Glenn Wellness was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.