Emerald Shores Psychological Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

EMERALD SHORES PSYCHOLOGICAL PROFESSIONAL CORPORATION

Practice address

27702 Rubidoux
Mission Viejo, CA 92692-5223

Phone

(949) 231-9968

NPI assigned

Nov 30, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Payam Jafari, ED.D.NPI 1417207358

Title

Psychologist

Phone

(949) 231-9968

Specialties & licenses 1

Addresses

Other names 1

• EMERALD SHORES PSYCHOLOGICAL CENTER Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Payam Jafari, ED.D.

  • Psychologist
  • Newport Beach, CA
  • NPI 1417207358
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723852800000",
    "number": "1003453804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 IRVINE BLVD UNIT 503",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202103",
            "telephone_number": "949-436-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27702 RUBIDOUX",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925223",
            "telephone_number": "949-231-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD SHORES PSYCHOLOGICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-30",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A",
        "authorized_official_last_name": "JAFARI",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "949-231-9968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMERALD SHORES PSYCHOLOGICAL CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michael Alan Elliott, PHD
• Luahna Ellner, RDHAP
• Ava Elmzadeh
• Mark E. Elzik, M.D.
• Em Makhoul DDS, Inc.
• Emergency & Acute Care Medical Corporation
• Cristy Ann Emerson, D.C.
• Marina Jeannette Emhoff, ATC
• Endura Healthcare, Inc.
• Yoshimi Sim Enger, L.M.F.T.

• Clinical Psychologist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.