Dr. Jalali and Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

27593 Issued in CA

Legal business name

DR. JALALI AND ASSOCIATES

Practice address

180 Newport Center Dr Ste 270D
Newport Beach, CA 92660-6972

Phone

(310) 849-0801

NPI assigned

Oct 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Shahrzad Jalali Bidgoli, PYSDNPI 1558631747

Title

Clinical Psychologist/President

Phone

(310) 849-0801

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shahrzad Jalali Bidgoli

  • Mental Health Counselor
  • Orange, CA
  • NPI 1558631747
  NPD Authorized official

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1033620711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 MICHELSON DR APT 5211",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926123435",
            "telephone_number": "310-849-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NEWPORT CENTER DR STE 270D",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606972",
            "telephone_number": "310-849-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JALALI AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "JALALI BIDGOLI",
        "authorized_official_first_name": "SHAHRZAD",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "310-849-0801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PYSD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.