Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GREEN JELLYBEAN PEDIATRIC THERAPY, INC.
NPI 1710895800
Pediatrics - Neurodevelopmental Disabilities in Anaheim, CA

Q: What is Green Jellybean Pediatric Therapy, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Active since August 31, 2026

140 S CHAPARRAL CT STE 160, ANAHEIM, CA 92808(714) 794-5889 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Green Jellybean Pediatric Therapy, Inc. NPPES

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

GREEN JELLYBEAN PEDIATRIC THERAPY, INC. (NPI 1710895800) is a healthcare organization registered as a neurodevelopmental disabilities in Anaheim, California and active in the NPI registry since August 2026. The organization lists Emily Frevert, Owner, as its authorized official.

NPPES Registry Identity

NPI1710895800

Entity TypeOrganization

Primary Taxonomy2080P0008X

Legal Business NameGREEN JELLYBEAN PEDIATRIC THERAPY, INC.

Location Address140 S CHAPARRAL CT STE 160Anaheim, CA 92808-2283

Mailing Address140 S Chaparral Ct Ste 160Anaheim, CA 92808-2283 · (714) 794-5889

Phone(714) 794-5889

Organization SubpartNo

Authorized OfficialEmily FrevertOwner · (714) 794-5889

Enumeration DateAugust 31, 2026

NPPES CertifiedAugust 30, 2026

✔ NPI 1710895800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0008X

Definition

A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X

Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X

140 S CHAPARRAL CT STE 160, Anaheim, CA 92808

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

DEIDRA MCGAUGHY

Occupational Therapy Assistant