Mindshift Psychological Services Inc
NPI 1124656194 · Mental Health Counselor · Corona, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124656194
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Rachael Morua, Owner(714) 584-9700
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Profile Score
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
3 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Mindshift Wellness Center
Additional practice locations (2)
- 11633 San Vicente Blvd Ste 314Los Angeles, CA 90049-6514Phone: (714) 584-9700
- 11731 Sterling Ave Ste BRiverside, CA 92503-4958Phone: (714) 584-9700
Registry dates
- Enumerated
- 2020-03-27
- Last updated
- 2024-06-19
- Certified
- 2024-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.