Active NPI
Marieke Overman PHD
- Clinical Psychologist
- Menifee, CA
National Provider Identifier
1265910053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marieke Overman
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27873 | Other | CA | LICNSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- La Jolla, CA
- NPI 1306202726
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.