SOCAL ADOLESCENT WELLNESS, INC.
NPI 1972375715
Clinic/Center - Adolescent and Children Mental Health in Lake Forest, CA

Q: What is Socal Adolescent Wellness, Inc.'s NPI number?

The NPI number for Socal Adolescent Wellness, Inc. is 1972375715. It was assigned to this organization in the NPPES registry on October 25, 2023.

Q: What is Socal Adolescent Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since October 25, 2023

22471 ASPAN ST STE 110, LAKE FOREST, CA 92630(714) 465-2305 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Socal Adolescent Wellness, Inc. NPPES

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

SOCAL ADOLESCENT WELLNESS, INC. (NPI 1972375715) is a healthcare organization registered as an adolescent and children mental health in Lake Forest, California and active in the NPI registry since October 2023. The organization lists Rebecca M Harris, Cfo, as its authorized official.

NPPES Registry Identity

NPI1972375715

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameSOCAL ADOLESCENT WELLNESS, INC.

Location Address22471 ASPAN ST STE 110Lake Forest, CA 92630-1644

Mailing Address16168 Beach Blvd Ste 170Huntington Beach, CA 92647-3878

Phone(714) 465-2305

Organization SubpartNo

Authorized OfficialRebecca M HarrisCfo · (949) 467-4324

Enumeration DateOctober 25, 2023

NPPES CertifiedOctober 25, 2023

✔ NPI 1972375715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

22471 ASPAN ST STE 110, Lake Forest, CA 92630

Open in Google Maps ↗

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 Socal Adolescent Wellness, Inc.'s NPI number?

The NPI number for Socal Adolescent Wellness, Inc. is 1972375715. It was assigned to this organization in the NPPES registry on October 25, 2023.

Where is Socal Adolescent Wellness, Inc. located?

Socal Adolescent Wellness, Inc. is located at 22471 Aspan St Ste 110, Lake Forest, CA 92630. The listed phone number is (714) 465-2305.

What is Socal Adolescent Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Socal Adolescent Wellness, Inc. was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.