NPIMap

Organization Active NPI

Matthew N. Koury, MD, MPH a Professional Corporation

  • Child & Adolescent Psychiatry Physician
  • Newport Beach, CA
National Provider Identifier
1154864205
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A91131 Issued in CA
Legal business name
MATTHEW N. KOURY, MD, MPH A PROFESSIONAL CORPORATION
Practice address
450 Newport Center Dr
Suite 380
Newport Beach, CA 92660-7610
Phone
(949) 891-0307
Fax
(800) 217-8204
NPI assigned
Nov 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Dr. Matthew N Koury, M.D., M.P.H.NPI 1376633735
Title
Owner
Phone
(949) 891-0307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X A99131 CA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X A91131 CA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X A91131 CA
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X A91131 CA Primary

Addresses

Primary practice location

450 Newport Center Dr
Suite 380
Newport Beach, CA 92660-7610

Mailing address

450 Newport Center Dr
Suite 380
Newport Beach, CA 92660-7610
Phone (949) 891-0307

Other names 1

  • Mind Health Institute, Newport Beach Doing business as

National Provider Directory

National Provider Directory

Locations

450 Newport Center Dr
Ste 380
Newport Beach, CA 92660
Phone (310) 613-3469

Practitioners & affiliated clinicians

Practitioners 6

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": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1154864205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NEWPORT CENTER DR",
            "address_2": "SUITE 380",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607610",
            "telephone_number": "949-891-0307",
            "fax_number": "800-217-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NEWPORT CENTER DR",
            "address_2": "SUITE 380",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607610",
            "telephone_number": "949-891-0307",
            "fax_number": "800-217-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW N. KOURY, MD, MPH A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "KOURY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-891-0307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "A99131",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "A91131",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "A91131",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A91131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Health Institute, Newport Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 22, 2016; 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.