Shift: A Psychological Corporation

LBN: Shift: A Psychological Corporation
Shift: A Psychological Corporation is an health care organization with primary practice located at 4063 Birch St Ste 220 , Newport Beach CA 92660-2241. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Shift: A Psychological Corporation can be contacted via phone (480) 329-0544, or through Bond, David Kyle via phone (949) 329-3779.

Contact Information

Primary practice address
4063 Birch St Ste 220 Newport Beach CA 92660-2241
Phone: (480) 329-0544
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bond, David Kyle PHD
Phone: (949) 329-3779

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1134744147
LBN Legal business name Shift: A Psychological Corporation
DBA Doing business as
Authorized official Bond, David Kyle PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2020
Last updated Jul 30th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134744147 NPPES
California Other PSY31794 PSYCHOLOGY LICENSE

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