Individual provider Active NPI

Negar Shekarabi

  • Psychologist
  • Newport Beach, CA
National Provider Identifier
1013057041
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY23356 Issued in CA
Practice address
2161 San Joaquin Hills Rd
Newport Beach, CA 92660-6507
Phone
(949) 386-5700
Fax
(833) 623-5063
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY23356 CA Primary

Addresses

Primary practice location

2161 San Joaquin Hills Rd
Newport Beach, CA 92660-6507

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-8888

Other practice location 1

Harbor-UCLA Medical Center, Department of Psychiatry
Box 498, 1000 W. Carson Street
Torrance, CA 90509
Phone (310) 222-3198

Other practice location 2

1202 Bristol St Ste 200
Costa Mesa, CA 92626-8607
Phone (949) 424-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY23356CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1013057041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219",
            "telephone_number": "714-456-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 SAN JOAQUIN HILLS RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606507",
            "telephone_number": "949-386-5700",
            "fax_number": "833-623-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Harbor-UCLA Medical Center, Department of Psychiatry",
            "address_2": "Box 498, 1000 W. Carson Street",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "90509",
            "country_code": "US",
            "telephone_number": "310-222-3198",
            "fax_number": "310-328-7217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 Bristol St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926268607",
            "country_code": "US",
            "telephone_number": "949-424-9001",
            "fax_number": "949-424-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEKARABI",
        "first_name": "NEGAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.