Individual provider Active NPI

Behzad Bernous, PSYD

  • Clinical Psychologist
  • Irvine, CA
National Provider Identifier
1063757011
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27821 Issued in CA
Practice address
17762 Cowan Ste 100
Irvine, CA 92614-6899
Phone
(949) 679-4000
NPI assigned
Dec 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY27821 CA Primary
Marriage & Family Therapist 106H00000X LMFT85354 CA
Clinical Psychologist 103TC0700X 27821 CA

Addresses

Primary practice location

17762 Cowan Ste 100
Irvine, CA 92614-6899

Mailing address

17762 Cowan Ste 100
Irvine, CA 92614-6899
Phone (949) 679-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311002085 CA Practitioner - Clinical Psychologist 7719283084 Reassigns benefits to 1 organization
Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bernous Psychological Services IncGroup PAC ID 1355773938, 2 clinicians

Practice addresses (Care Compare)

17762 Cowan
Suite 100
Irvine, CA 92614-6899
Phone (949) 679-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY27821CAMDClinical Psychologist
LMFT85354CAMDMarriage & Family Therapist
27821CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bernous Psychological Services Inc Clinical CurrentSince Feb 28, 2019 Accepting new patients
Vance B Becker Inc a Psychological Corporation Past Accepting new patients

Locations

17762 Cowan
Ste 100
Irvine, CA 92614
Phone (949) 342-5053

1451 Quail St
Ste 102
Newport Beach, CA 92660
Phone (949) 679-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1063757011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17762 COWAN STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146899",
            "telephone_number": "949-679-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17762 COWAN STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146899",
            "telephone_number": "949-679-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNOUS",
        "first_name": "BEHZAD",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-03",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27821",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT85354",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.