Active NPI
Anna Hiller Arya, PSYD
- Clinical Psychologist
- San Clemente, CA
National Provider Identifier
1053934687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY34563
- Practice address
- 629 Camino de Los Mares Ste 207
San Clemente, CA 92673-2832 - Phone
- (949) 228-9080
- NPI assigned
- May 18, 2020
- Last updated
- Apr 27, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY34563 | CA | Primary |
Addresses
Primary practice location
629 Camino de Los Mares Ste 207
San Clemente, CA 92673-2832
Mailing address
629 Camino de Los Mares Ste 207
San Clemente, CA 92673-2832
Phone (949) 228-9080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 3, 2025 through Apr 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY34563 | CA | MD | Clinical Psychologist |
| 34563 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1053934687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 CAMINO DE LOS MARES STE 207",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732832",
"telephone_number": "949-228-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 CAMINO DE LOS MARES STE 207",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732832",
"telephone_number": "949-228-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARYA",
"first_name": "ANNA",
"middle_name": "HILLER",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-18",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY34563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.