Audrey L Newman, DR

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 10985 Issued in CA

Practice address

1491 Interiachen Rd #257 H
Seal Beach, CA 90740

Phone

(562) 461-7500

Fax

(562) 431-7595

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275675589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 INTERIACHEN RD #257 H",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "90740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 INTERIACHEN RD #257 H",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "90740",
            "telephone_number": "562-461-7500",
            "fax_number": "562-431-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "AUDREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 10985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY109850",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6725122",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathalie Maggio LMFT, a Marriage and Family Therapy Professional Cooperation
• Naval Hospital Camp Pendleton
• Scott Eugene Nelsen, O.D.
• Neurohealth Specialists, a Psychological Corporation
• Riley Newcomb, PA
• Christophe Ngo, LMFT
• Cathy Nguyen
• Charlie Nguyen
• Henry Nguyen
• Huy Phung Nguyen, PHARM.D

• Psychologist in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.