Jacqlyn Quintina Wax, PSYD in Mission Viejo, CA - Psychologist

Jacqlyn Quintina Wax, PSYD is a Psychologist based in Mission Viejo, California. Jacqlyn Quintina Wax is licensed to practice in California (license number PSB94024446) and her current practice location is 27201 Puerta Real Ste 300, Mission Viejo, California. She can be reached at her office (for appointments etc.) via phone at (949) 354-4147.

NPI number for Jacqlyn Quintina Wax is 1063033611 and her current mailing address is 1206 Blue Sky Dr, Cardiff, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063033611.

Contact Information

	Jacqlyn Quintina Wax, PSYD
	27201 Puerta Real Ste 300, Mission Viejo, CA 92691-8590
	(949) 354-4147
	Not Available

Healthcare Provider's Profile

Full Name	Jacqlyn Quintina Wax
Gender	Female
Speciality	Psychologist
Location	27201 Puerta Real Ste 300, Mission Viejo, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1063033611
Provider Enumeration Date: 05/05/2020
Last Update Date: 05/05/2020

Medical Identifiers

Medical identifiers for Jacqlyn Quintina Wax such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063033611	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSB94024446 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqlyn Quintina Wax is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacqlyn Quintina Wax, PSYD 1206 Blue Sky Dr, Cardiff, CA 92007-1005 Ph: (858) 213-7243	Jacqlyn Quintina Wax, PSYD 27201 Puerta Real Ste 300, Mission Viejo, CA 92691-8590 Ph: (949) 354-4147

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Psychologist in Mission Viejo, CA

Dr. Sharon M. Gruber, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26431 Crown Valley Pkwy, Suite #100, Mission Viejo, CA 92691 Phone: 949-348-6700
Dr. Lilya Kruglyansky Reiss, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26381 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691 Phone: 949-374-6550 Fax: 949-916-6245
Dr. Stuart Kirschbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27001 La Paz Rd, Suite 418, Mission Viejo, CA 92691 Phone: 949-215-2500 Fax: 949-203-8686
Dr. Bonnie Lee Hedlund, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27001 La Paz Rd, Suite 254, Mission Viejo, CA 92691 Phone: 949-282-8310 Fax: 949-472-0307
Casey Cooper, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27281 Las Ramblas, Ste 200, Mission Viejo, CA 92691 Phone: 949-420-3067 Fax: 949-305-4171
Dr. Francis Dizon, PH.D., LEP, PPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25631 Peter A Hartman Way, Mission Viejo, CA 92691 Phone: 949-580-3218

Jacqlyn Quintina Wax, PSYD - Psychologist in Mission Viejo, CA