Laurel M. Sugden, PSYD, MPA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17057 Issued in CA

Practice address

1303 Avocado Ave
Suite 120
Newport Beach, CA 92660-7802

Phone

(949) 719-2917

NPI assigned

Feb 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1235451840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 S. MOHLER DRIVE",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928081356",
            "telephone_number": "949-719-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 AVOCADO AVE",
            "address_2": "SUITE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607802",
            "telephone_number": "949-719-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGDEN",
        "first_name": "LAUREL",
        "middle_name": "M.",
        "credential": "PSYD, MPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY17057",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17057",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSY17057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Christian Stuhr, DPT
• Kenneth Su, MD
• Subbarao Mylavarapu, MD, a Professional Medical Corporation
• Taimane Suddeth
• Chandler Marie Sudduth
• Corinne S. Sugihara, M.D.
• Hitomi Sugimoto, PA-C
• Andrea Kimiko Sugino, LMFT
• Rebecca Lee Suh, M.D.
• Lisa Maria Sullivan, MFT

• Clinical Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.