Provider Demographics
NPI:1306621990
Name:MCCORMICK PSYCHOLOGY GROUP
Entity type:Organization
Organization Name:MCCORMICK PSYCHOLOGY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:949-228-7143
Mailing Address - Street 1:18003 SKY PARK CIR STE H2
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6526
Mailing Address - Country:US
Mailing Address - Phone:949-464-8272
Mailing Address - Fax:
Practice Address - Street 1:18003 SKY PARK CIR STE H2
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6526
Practice Address - Country:US
Practice Address - Phone:949-464-8272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Multi-Specialty