OrganizationInstitute Of Pediatric PsychologyPsychologistBehavioral Health & Social Service ProvidersPractice Address145 W Main St Ste 240, Tustin, CA 92780-7751(949) 244-2014PECOS EnrollmentBased on the most recent information from CMS, provider Institute Of Pediatric Psychology does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1083445944Provider TypeOrganizationFull NameInstitute Of Pediatric PsychologySubpartNoEnumeration Date8/12/2024Last Updated8/12/2024Contact InformationPractice LocationPractice Address145 W Main St Ste 240, Tustin, CA 92780-7751Phone(949) 244-2014FaxUnlisted FaxMailing LocationMailing Address145 W Main St Ste 240, Tustin, CA 92780-7751PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameKaur, Harpreet (Clinical Psychologist/Ceo)Phone(949) 244-2014Provider TaxonomiesCodeDescriptionLicenseCode103TC2200XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer