WELL STREET PSYCHOLOGICAL INC.
NPI 1760936835
Psychologist - Clinical in Anaheim, CA

Active since August 06, 2016
100 S IMPERIAL HWY, ANAHEIM, CA 92807(714) 730-9355(714) 730-9355 Get Directions Write a Review

NPPES record last updated: August 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Well Street Psychological Inc. NPPES

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

WELL STREET PSYCHOLOGICAL INC. (NPI 1760936835) is a healthcare organization registered as a clinical in Anaheim, California and active in the NPI registry since August 2016. The organization lists Martin J Eaton, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1760936835
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameWELL STREET PSYCHOLOGICAL INC.
Location Address100 S IMPERIAL HWYAnaheim, CA 92807-3943
Mailing Address100 S Imperial HwyAnaheim, CA 92807-3943 · (714) 730-9355 · Fax (714) 730-9355
Fax(714) 730-9355
Organization SubpartNo
Authorized OfficialMartin J EatonCeo/owner · (714) 730-9355
Enumeration DateAugust 6, 2016
NPI 1760936835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY15533
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.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PSY15533 (CA)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY15533 (CA)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY15533 (CA)
100 S IMPERIAL HWY, Anaheim, CA 92807

Other Identifiers 1

OtherPSY15533CA · Psychologist License

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

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 Well Street Psychological Inc.'s NPI number?

The NPI number for Well Street Psychological Inc. is 1760936835. It was assigned to this organization in the NPPES registry on August 6, 2016.

Where is Well Street Psychological Inc. located?

Well Street Psychological Inc. is located at 100 S Imperial Hwy, Anaheim, CA 92807. The listed phone number is (714) 730-9355.

What is Well Street Psychological Inc.'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 Well Street Psychological Inc. was last updated on August 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.