Dr. Benjamin William Strack
Psychologist Family Psychologist Health Psychologist Clinical Psychologist and 3 more
23 Corporate Plaza Dr Ste 150
Newport Beach
, California 92660-7908
Dr. Benjamin William Strack
Psychologist Family Psychologist Health Psychologist Clinical Psychologist and 3 more
23 Corporate Plaza Dr Ste 150
Newport Beach
, California 92660-7908
(949) 722-7805
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About
Features
Specialties
- Psychologist
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Exercise & Sports Psychologist
- Family Psychologist
- Health Psychologist
Languages spoken
- English
Location
First Address
- Dr. Benjamin William Strack
- 2668 S Grand Ave
- Santa Ana, CA
- Zip : 92705-5402
- Phone : (949) 722-7805
Second Address
- Dr. Benjamin William Strack
- 23 Corporate Plaza Dr Ste 150
- Newport Beach, CA
- Zip : 92660-7908
- Phone : (949) 629-2560
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | PSY 24425 | CA |
| N | 103T00000X | Psychologist | PSY 24425 | CA |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY 24425 | CA |
| Y | 103G00000X | Clinical Psychologist | PSY 24425 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY 24425 | CA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY 24425 | CA |
| N | 103TE1100X | Exercise & Sports Psychologist | PSY 24425 | |
| N | 103TF0000X | Family Psychologist | PSY 24425 | CA |
| N | 103TH0004X | Health Psychologist | PSY 24425 | CA |
National Provider Identifier
| NPI | 1205119633 |
|---|---|
| Provider Name | Dr. Benjamin William Strack |
| First Address | Santa Ana, CA 92705-5402 |
| Second Address | Newport Beach, CA 92660-7908 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2011 |
| Last Update Date | 14/12/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.