Insight Psychology Center, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

INSIGHT PSYCHOLOGY CENTER, INC.

Practice address

1101 Dove St Ste 190
Newport Beach, CA 92660-2827

Phone

(949) 630-0630

Fax

(949) 688-5577

NPI assigned

Feb 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Carey Sherilyn Incledon, PSYDNPI 1023484979

Title

Ceo

Phone

(949) 630-0630

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carey Sherilyn Incledon

  • Psychologist
  • Newport Beach, CA
  • NPI 1023484979
  NPD Authorized official

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581120000000",
    "number": "1043842974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GREENMOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926147467",
            "telephone_number": "949-466-8686",
            "fax_number": "949-688-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 DOVE ST STE 190",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602827",
            "telephone_number": "949-630-0630",
            "fax_number": "949-688-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT PSYCHOLOGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-08",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A",
        "authorized_official_last_name": "INCLEDON",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "SHERILYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-630-0630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; 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.