Individual provider Active NPI

Iris Newbury, PH.D.

  • Clinical Psychologist
  • Laguna Hills, CA
National Provider Identifier
1235165028
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17080 Issued in CA
Practice address
23276 S Pointe Dr
Suite 217
Laguna Hills, CA 92653-1432
Phone
(949) 338-4357
Fax
(714) 827-3331
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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 PSY17080 CA Primary

Addresses

Primary practice location

23276 S Pointe Dr
Suite 217
Laguna Hills, CA 92653-1432

Mailing address

9678 Oakmount St
Cypress, CA 90630-3724
Phone (714) 349-4357

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
I20040917001155 CA Practitioner - Clinical Psychologist 9133197197 Practice locations: Laguna Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23276 S Pointe Dr
Suite 211
Laguna Hills, CA 92653-1435
Phone (714) 349-4357

24236 Verde St
Lake Forest, CA 92630-3672

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY17080CAMDClinical Psychologist
17080CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1235165028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9678 OAKMOUNT ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303724",
            "telephone_number": "714-349-4357",
            "fax_number": "714-827-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23276 S POINTE DR",
            "address_2": "SUITE 217",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531432",
            "telephone_number": "949-338-4357",
            "fax_number": "714-827-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBURY",
        "first_name": "IRIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.