Active NPI
Bobbie McDonald, PSY.D.
- Psychologist
- Costa Mesa, CA
National Provider Identifier
1013315290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 26672
- Practice address
- 181 E 18TH St
Ste B
Costa Mesa, CA 92627-3069 - Phone
- (949) 887-9616
- NPI assigned
- Dec 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 26672 | CA | Primary |
Addresses
Primary practice location
181 E 18TH St
Ste B
Costa Mesa, CA 92627-3069
Mailing address
181 E 18TH St
Ste B
Costa Mesa, CA 92627-3069
Phone (949) 887-9616
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26672 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1013315290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 E 18TH ST",
"address_2": "STE B",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273069",
"telephone_number": "949-887-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 E 18TH ST",
"address_2": "STE B",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273069",
"telephone_number": "949-887-9616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "BOBBIE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-19",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "26672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.