IndividualActive
Jacqlyn Wax, PSY.D
NPI 1063033611 · Psychologist · Mission Viejo, CA
Jacqlyn Wax, PSY.D is a Psychologist provider in Mission Viejo, CA (NPI 1063033611).
Provider details
- NPI number
- 1063033611
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D
- Sex
- Female
- Sole proprietor
- No
- License
- PSB94024446 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
27201 Puerta Real Ste 300
Mission Viejo, CA 92691-8590
Phone: (949) 354-4147
Street-level locationGet directions
Mailing address
1206 Blue Sky Dr
Cardiff, CA 92007-1005
Registry dates
- Enumerated
- 2020-05-05
- Last updated
- 2020-05-05
- Certified
- 2020-05-05
Frequently asked questions
- What is Jacqlyn Wax's NPI number?
- Jacqlyn Wax's National Provider Identifier (NPI) is 1063033611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqlyn Wax's specialty?
- Jacqlyn Wax is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jacqlyn Wax located?
- Jacqlyn Wax's practice location on file with NPPES is 27201 Puerta Real Ste 300, Mission Viejo, CA 92691-8590.
- What is Jacqlyn Wax's phone number?
- The practice phone number listed in the NPPES registry for Jacqlyn Wax is (949) 354-4147.
- Is Jacqlyn Wax's NPI active?
- Yes — Jacqlyn Wax's NPI (1063033611) is active in the NPPES registry as of the last update on 2020-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.