Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780347237 Individual Practitioner Female Practitioner

Jade Star Fewell , PSYDASSISTANT

Psychologist • Costa Mesa, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jade Fewell, PSYDASSISTANT is a registered healthcare professional specializing in Psychologist in Costa Mesa, CA. Official NPI practice address is registered at 3151 AIRWAY AVE STE J2.

Practice Location & Contact Primary Location

Practice Address

3151 Airway Ave Ste J2

Costa Mesa, CA 926264624

Telephone 9497024677
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Costa Mesa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
27 Specialists

Practicing in Costa Mesa, CA (7695 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-26
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CA 94026429

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License CA 15155

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated December 26, 2021

Recorded as JADE FEWELL, PSY.D.ASSISTANT

NPI Profile Active October 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2021

Registered at 3151 AIRWAY AVE STE J2, COSTA MESA, CA 926264624 (Tel: 9497024677)

📍
Updated Business Mailing Address October 20, 2021

Registered at PO BOX 1946, LAGUNA BEACH, CA 926521946 (Tel: 9497024677)

👤
Provider Name / Credentials Updated October 20, 2021

Recorded as JADE FEWELL, RAC LIC.#15155

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2021

Counselor (License #15155 in CA)

🟢
Initial NPI Registration & Enumeration October 20, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780347237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2021
Last Update: December 26, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 1946

Laguna Beach, CA 926521946

Phone: 9497024677

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.