DR. JADE STAR FEWELL PSY.D.ASSISTANT
NPI 1780347237
Psychologist in Costa Mesa, CA

Active since October 20, 2021
3151 AIRWAY AVE STE J2, COSTA MESA, CA 92626(949) 702-4677 Get Directions Write a Review

NPPES record last updated: December 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 26, 2021, Oct 20, 2021 (2 updates tracked since 2021).

About Dr. Jade Star Fewell Psy.d.assistant NPPES

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

DR. JADE STAR FEWELL PSY.D.ASSISTANT (NPI 1780347237) is an individual psychologist in Costa Mesa, California, licensed in California (94026429) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1780347237
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JADE STAR FEWELLCredential: PSY.D.ASSISTANT
Location Address3151 AIRWAY AVE STE J2Costa Mesa, CA 92626-4624
Mailing AddressPo Box 1946Laguna Beach, CA 92652-1946 · (949) 702-4677
Sole ProprietorYes
Enumeration DateOctober 20, 2021
Last NPPES UpdateDecember 26, 20212 updates tracked since enumeration
NPPES CertifiedDecember 26, 2021
NPI 1780347237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 94026429
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15155 (CA)
3151 AIRWAY AVE STE J2, Costa Mesa, CA 92626

Other Providers at the Same Location NPPES

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

Clinic/Center (Multi-Specialty)
3151 AIRWAY AVE STE J2
COSTA MESA, CA 92626

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 Jade Fewell's NPI number?

The NPI number for Jade Fewell is 1780347237. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Where is Jade Fewell located?

Jade Fewell practices at 3151 Airway Ave Ste J2, Costa Mesa, CA 92626. The listed phone number is (949) 702-4677.

What is Jade Fewell'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 Jade Fewell was last updated on December 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.