Organization Active NPI

Marieke Overman PHD

  • Clinical Psychologist
  • Menifee, CA
National Provider Identifier
1265910053
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MARIEKE OVERMAN PHD
Practice address
27186 Newport Rd Ste D3
Menifee, CA 92584-7386
Phone
(951) 296-8114
Fax
(949) 336-3847
NPI assigned
Aug 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Marieke OvermanNPI 1306202726
Title
Owner, Clinical Psychologist
Phone
(951) 296-8114

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

27186 Newport Rd Ste D3
Menifee, CA 92584-7386

Mailing address

27186 Newport Rd Ste D3
Menifee, CA 92584-7386
Phone (951) 296-8114

Other identifiers 1

IdentifierTypeStateIssuer
27873OtherCALICNSE

National Provider Directory

National Provider Directory

Locations

27186 Newport Rd
Ste D3
Menifee, CA 92584
Phone (951) 296-8114

29826 Haun Rd
Menifee, CA 92586

Practitioners & affiliated clinicians

Practitioners 1

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": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1265910053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27186 NEWPORT RD STE D3",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847386",
            "telephone_number": "951-296-8114",
            "fax_number": "949-336-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27186 NEWPORT RD STE D3",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847386",
            "telephone_number": "951-296-8114",
            "fax_number": "949-336-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIEKE OVERMAN PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "OVERMAN",
        "authorized_official_first_name": "MARIEKE",
        "authorized_official_title_or_position": "OWNER, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "951-296-8114"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICNSE",
            "identifier": "27873",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.