OrganizationActive
Southern California Psychological
NPI 1053745497 · Specialist · Tustin, CA
Southern California Psychological is a Specialist organization in Tustin, CA (NPI 1053745497).
Provider details
- NPI number
- 1053745497
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kimberely Tilley, President(714) 505-2093
- License
- PSY23488 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17821 17th St Ste 250
Tustin, CA 92780-2173
Phone: (714) 505-2093
Fax: (714) 573-0072
Street-level locationGet directions
Mailing address
17821 17th St Ste 250
Tustin, CA 92780-2173
Registry dates
- Enumerated
- 2013-08-21
- Last updated
- 2013-08-21
Frequently asked questions
- What is Southern California Psychological's NPI number?
- Southern California Psychological's National Provider Identifier (NPI) is 1053745497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern California Psychological?
- Southern California Psychological is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Southern California Psychological located?
- Southern California Psychological's practice location on file with NPPES is 17821 17th St Ste 250, Tustin, CA 92780-2173.
- What is Southern California Psychological's phone number?
- The practice phone number listed in the NPPES registry for Southern California Psychological is (714) 505-2093.
- Who is the authorized official for Southern California Psychological?
- The authorized official listed on Southern California Psychological's NPPES record is Kimberely Tilley, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern California Psychological's NPI active?
- Yes — Southern California Psychological's NPI (1053745497) is active in the NPPES registry as of the last update on 2013-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.