Jason Shipley

NPI 1679047070 · on the registry since 2019

Practice

Address: 401 S Tustin St Bldg D
Orange, CA 92866
Phone: (714) 289-3936
Fax: (714) 289-3938
Organisation at this address: College Community Services
The Wellness Center Central
Stars Behavioral Health Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 207

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-01-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California