Individual provider Active NPI

Natasha Emmerson, PH.D.

  • Psychologist
  • Newport Beach, CA
National Provider Identifier
1386031003
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY26992 Issued in CA
Practice address
366 San Miguel Dr
Suite 209
Newport Beach, CA 92660-7817
Phone
(949) 200-6097
NPI assigned
Apr 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY26992 CA Primary

Addresses

Primary practice location

366 San Miguel Dr
Suite 209
Newport Beach, CA 92660-7817

Mailing address

366 San Miguel Dr
Suite 209
Newport Beach, CA 92660-7817
Phone (949) 200-6097

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY26992CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1386031003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 SAN MIGUEL DR",
            "address_2": "SUITE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607817",
            "telephone_number": "949-200-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 SAN MIGUEL DR",
            "address_2": "SUITE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607817",
            "telephone_number": "949-200-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMERSON",
        "first_name": "NATASHA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY26992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.