Individual provider Active NPI

Harpreet Kaur, PHD

  • Clinical Child & Adolescent Psychologist
  • Tustin, CA
National Provider Identifier
1316229560
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY30051 Issued in CA
Practice address
145 W Main St Ste 240
Tustin, CA 92780-7751
Phone
(949) 244-2014
NPI assigned
Sep 14, 2011
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY30051 CA Primary

Addresses

Primary practice location

145 W Main St Ste 240
Tustin, CA 92780-7751

Mailing address

145 W Main St Ste 240
Tustin, CA 92780-7751
Phone (949) 244-2014

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hkaur@theweichmanclinic.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007002490 AZ Practitioner - Clinical Psychologist 1153639398 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY30051CAMDClinical Child & Adolescent Psychologist
4662AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Pediatric Psychology Clinical Child & Adolescent CurrentSince Aug 18, 2024 Accepting new patients
Phoenix Children's Medical Group CurrentSince Sep 11, 2015 Accepting new patients
Phoenix Children's Hospital CurrentSince Sep 11, 2015 Accepting new patients
Phoenix Children's Hospital Hope Past Accepting new patients

Locations

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

1919 E Thomas Rd
Bldg 2108
Phoenix, AZ 85016
Phone (602) 512-8030

145 W Main St
Ste 240
Tustin, CA 92780
Phone (949) 244-2014

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1316229560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W MAIN ST STE 240",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807751",
            "telephone_number": "949-244-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W MAIN ST STE 240",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807751",
            "telephone_number": "949-244-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "HARPREET",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY30051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hkaur@theweichmanclinic.com",
            "affiliation": "N",
            "address_1": "3900 W Coast Hwy Ste 380",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926634028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.