| Michael H Foust, Ph.d. | |
|
2201 N. Grand Ave Unit #10433 Santa Ana CA 92711 | |
| (714) 834-9222 | |
| Not Available |
| Full Name | Michael H Foust, Ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 2201 N. Grand Ave, Santa Ana, California |
| Authorized Official Name and Position | Michael Henry Foust (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7148349222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael H Foust, Ph.d. 2201 N Grand Ave Unit 10433 Santa Ana CA 92711-9998 Ph: (714) 834-9222 | Michael H Foust, Ph.d. 2201 N. Grand Ave Unit #10433 Santa Ana CA 92711 Ph: (714) 834-9222 |
| NPI Number | 1780836809 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 12/08/2020 |
| Certification Date | 12/07/2020 |
| Medicare PECOS PAC ID | 2860552577 |
|---|---|
| Medicare Enrollment ID | O20081125000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780836809 | NPI | - | NPPES |
| CP6432 | Other | CA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY6432 (California) | Primary |
| Provider Name | Michael H Foust |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992700322 PECOS PAC ID: 1355232935 Enrollment ID: I20040323000848 |
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