Individual provider Active NPI

Neda Novin, M.A.

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1265875983
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90749 Issued in CA
Practice address
1001 Dove St Ste 280
Newport Beach, CA 92660-2815
Phone
(949) 636-9193
NPI assigned
Apr 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 90749 CA Primary

Addresses

Primary practice location

1001 Dove St Ste 280
Newport Beach, CA 92660-2815

Mailing address

30 Tierra Montanosa
Rancho Santa Margarita, CA 92688-3372
Phone (949) 636-9193

Other practice location 1

30 Tierra Montanosa
Rancho Santa Margarita, CA 92688-3372
Phone (949) 636-9193

Other practice location 2

15455 San Fernando Mission Blvd Ste 300
Mission Hills, CA 91345-1353
Phone (818) 330-4782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Neda Novin Marriage and Family Therapist Inc Marriage & Family Therapist CurrentSince May 9, 2021 Accepting new patients

Locations

15455 San Fernando Mission Blvd
Ste 300
Mission Hills, CA 91345
Phone (818) 408-9284

1001 Dove St
Ste 280
Newport Beach, CA 92660
Phone (949) 636-9193

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1265875983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TIERRA MONTANOSA",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883372",
            "telephone_number": "949-636-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DOVE ST STE 280",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602815",
            "telephone_number": "949-636-9193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Tierra Montanosa",
            "address_purpose": "LOCATION",
            "city": "Rancho Santa Margarita",
            "state": "CA",
            "postal_code": "926883372",
            "country_code": "US",
            "telephone_number": "949-636-9193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15455 San Fernando Mission Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451353",
            "country_code": "US",
            "telephone_number": "818-330-4782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVIN",
        "first_name": "NEDA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90749",
            "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 Jun 8, 2021; 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.