Individual provider Active NPI

Maya Susanna Ziegler, PH.D.

  • Clinical Psychologist
  • Newport Beach, CA
National Provider Identifier
1184635971
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11215 Issued in CA
Practice address
1601 Dove St Ste 230
Newport Beach, CA 92660-1423
Phone
(949) 644-0481
Fax
(949) 833-3467
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PSY11215 CA Primary

Addresses

Primary practice location

1601 Dove St Ste 230
Newport Beach, CA 92660-1423

Mailing address

28 Whitesands Dr
Newport Coast, CA 92657-1059
Phone (949) 644-0481

Other names 1

  • Dr. Maya Susanna Laemmel Former name

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
I20260428002883 CA Practitioner - Clinical Psychologist 0244707115 Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1151 Dove St
Suite 200
Newport Beach, CA 92660-2805

1151 Dove St
Suite 200
Newport Beach, CA 92660-2853
Phone (949) 280-0982

800 Rockefeller
Irvine, CA 92612-0003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY11215CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184635971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WHITESANDS DR",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571059",
            "telephone_number": "949-644-0481",
            "fax_number": "949-833-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST STE 230",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601423",
            "telephone_number": "949-644-0481",
            "fax_number": "949-833-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "MAYA",
        "middle_name": "SUSANNA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "LAEMMEL",
            "middle_name": "SUSANNA",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.