DR. AUDREY ELAINE SEATON-BACON PH.D.
NPI 1922065564
Psychologist - Clinical in Covina, CA

Q: What is Audrey Seaton-bacon's NPI number?

The NPI number for Audrey Seaton-bacon is 1922065564. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Audrey Seaton-bacon's specialty?

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

Q: Is Audrey Seaton-bacon enrolled in Medicare?

No. Audrey Seaton-bacon has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since April 27, 2006Opted out of Medicare · through Jul 1, 2027

1338 CENTER COURT DR STE 102, COVINA, CA 91724(562) 907-9196(562) 479-0365 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Audrey Elaine Seaton-bacon Ph.d. NPPES

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

DR. AUDREY ELAINE SEATON-BACON PH.D. (NPI 1922065564) is an individual clinical provider in Covina, California, licensed in California (PSY16171) and active in the NPI registry since April 2006. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1922065564

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. AUDREY ELAINE SEATON-BACONCredential: PH.D.

Location Address1338 CENTER COURT DR STE 102Covina, CA 91724-3681

Mailing AddressPo Box 585Park Hills, MO 63601-0585 · (562) 907-9196 · Fax (562) 479-0365

Phone(562) 907-9196

Fax(562) 479-0365

Sole ProprietorYes

Enumeration DateApril 27, 2006

Last NPPES UpdateMay 23, 2023

NPPES CertifiedMarch 11, 2022

✔ NPI 1922065564 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 · PSY16171

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.

1338 CENTER COURT DR STE 102, Covina, CA 91724

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Audrey Elaine Seaton-bacon Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Audrey Seaton-bacon's NPI number?

The NPI number for Audrey Seaton-bacon is 1922065564. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Audrey Seaton-bacon located?

Audrey Seaton-bacon practices at 1338 Center Court Dr Ste 102, Covina, CA 91724. The listed phone number is (562) 907-9196.

What is Audrey Seaton-bacon's specialty?

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

Is Audrey Seaton-bacon enrolled in Medicare?

No. Audrey Seaton-bacon has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Audrey Seaton-bacon was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.