Active NPI
Milena Imhof, PSYD
- Clinical Psychologist
- Laguna Niguel, CA
National Provider Identifier
1336333665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY24743
- Practice address
- 30001 Crown Valley Pkwy
Suite P
Laguna Niguel, CA 92677-1723 - Phone
- (310) 579-5254
- NPI assigned
- Aug 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | CA | ||
| Clinical Psychologist | 103TC0700X | PSY24743 | CA | Primary |
Addresses
Primary practice location
30001 Crown Valley Pkwy
Suite P
Laguna Niguel, CA 92677-1723
Mailing address
30001 Crown Valley Pkwy
Suite P
Laguna Niguel, CA 92677-1723
Phone (310) 579-5254
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24743 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1336333665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30001 CROWN VALLEY PKWY",
"address_2": "SUITE P",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926771723",
"telephone_number": "310-579-5254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30001 CROWN VALLEY PKWY",
"address_2": "SUITE P",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926771723",
"telephone_number": "310-579-5254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMHOF",
"first_name": "MILENA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY24743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.