Active NPI
Niyati Gupta Roy, PSY.D.
- Clinical Psychologist
- Anaheim, CA
National Provider Identifier
1376987206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY29053
- Practice address
- 1920 W Corporate Way
Anaheim, CA 92801-5373 - Phone
- (714) 687-6716
- NPI assigned
- Apr 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | PSY29053 | CA | Primary |
Addresses
Primary practice location
1920 W Corporate Way
Anaheim, CA 92801-5373
Mailing address
1920 W Corporate Way
Anaheim, CA 92801-5373
Other names 1
- Niyati Gupta
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29053 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Orange | Past | Accepting new patients | |
| County of Orange | Past | Accepting new patients | |
| Pasadena Clinical Group, a Psychology Corporation | Clinical | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Orange, CA
- NPI 1437296837
-
- Adolescent and Children Mental Health Clinic/Center
- Orange, CA
- NPI 1497887384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1376987206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 W CORPORATE WAY",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 W CORPORATE WAY",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015373",
"telephone_number": "714-687-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "NIYATI",
"middle_name": "GUPTA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY29053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIYATI",
"last_name": "GUPTA",
"credential": "PSYD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.