NPIMap

Organization Active NPI

Universal Psychological Services Inc

  • Clinical Psychologist
  • Newport Beach, CA
National Provider Identifier
1124449400
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY24329 Issued in CA
Legal business name
UNIVERSAL PSYCHOLOGICAL SERVICES INC
Practice address
20241 SW Birch St
Suite 202
Newport Beach, CA 92660-1782
Phone
(949) 514-5438
NPI assigned
Jan 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Dr. Norma Yacoub, PSYD
Title
Ceo-Clinical Psychologist
Phone
(949) 955-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY24329 CA Primary

Addresses

Primary practice location

20241 SW Birch St
Suite 202
Newport Beach, CA 92660-1782

Mailing address

20241 SW Birch St
Suite 202
Newport Beach, CA 92660-1782
Phone (949) 955-9100

National Provider Directory

National Provider Directory

Locations

20241 SW Birch St
Ste 202
Newport Beach, CA 92660
Phone (949) 514-5438

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1124449400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20241 SW BIRCH ST",
            "address_2": "SUITE 202",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601782",
            "telephone_number": "949-955-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20241 SW BIRCH ST",
            "address_2": "SUITE 202",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601782",
            "telephone_number": "949-514-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "CEO-CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "949-955-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24329",
            "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 Apr 30, 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.