Individual provider Active NPI

Rachel M Irish, PHD

  • Psychologist
  • Newport Beach, CA
National Provider Identifier
1083983829
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
31712 Issued in CA
Practice address
1400 Quail St Ste 275
Newport Beach, CA 92660-2762
Phone
(951) 529-2772
NPI assigned
Dec 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 31712 CA Primary

Addresses

Primary practice location

1400 Quail St Ste 275
Newport Beach, CA 92660-2762

Mailing address

3897 Dawes St Unit 217
Riverside, CA 92503-3586
Phone (951) 529-2772

Other practice location 1

12821 Newport Ave
Tustin, CA 92780-2711
Phone (951) 529-2772

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
31712CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Healing Therapy Solutions CurrentSince Jun 26, 2022 Accepting new patients

Locations

1400 Quail St
Ste 275
Newport Beach, CA 92660
Phone (657) 215-0465

12821 Newport Ave
Tustin, CA 92780
Phone (714) 803-4866

Organizations & group practices 1

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": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1083983829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3897 DAWES ST UNIT 217",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033586",
            "telephone_number": "951-529-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 QUAIL ST STE 275",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602762",
            "telephone_number": "951-529-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12821 Newport Ave",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927802711",
            "country_code": "US",
            "telephone_number": "951-529-2772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRISH",
        "first_name": "RACHEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "31712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.