Individual provider Active NPI

Susan Pazak, PHD

  • Clinical Psychologist
  • Laguna Niguel, CA
National Provider Identifier
1093735599
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17583 Issued in CA
Practice address
23807 Aliso Creek Rd Ste 100
Laguna Niguel, CA 92677-3929
Phone
(949) 363-0700
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY17583 CA Primary

Addresses

Primary practice location

23807 Aliso Creek Rd Ste 100
Laguna Niguel, CA 92677-3929

Mailing address

23807 Aliso Creek Rd Ste 100
Laguna Niguel, CA 92677-3929
Phone (949) 363-0700

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
I20110830000372 CA Practitioner - Clinical Psychologist 1456521418 Practice locations: Laguna Niguel, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23807 Aliso Creek Rd
Suite 100
Laguna Niguel, CA 92677-3929
Phone (949) 363-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY17583CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Susan Pazak Psychological Services CurrentSince Sep 7, 2011 Accepting new patients
Pathways Community Services LLC PastSince Aug 15, 2021 Accepting new patients

Locations

30131 Town Center Dr
Ste 280
Laguna Niguel, CA 92677
Phone (949) 436-9737

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1093735599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23807 ALISO CREEK RD STE 100",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773929",
            "telephone_number": "949-363-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23807 ALISO CREEK RD STE 100",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773929",
            "telephone_number": "949-363-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZAK",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.