Organization Active NPI

Homecoming Psychiatry Inc

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Newport Beach, CA
National Provider Identifier
1386498905
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
Legal business name
HOMECOMING PSYCHIATRY INC
Practice address
4533 Macarthur Blvd Ste a-2285
Newport Beach, CA 92660-2059
Phone
(714) 386-9766
NPI assigned
Apr 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Anam GulraizNPI 1598432320
Title
Ceo
Phone
(714) 386-9766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0807X Primary

Addresses

Primary practice location

4533 Macarthur Blvd Ste a-2285
Newport Beach, CA 92660-2059

Mailing address

301 Bayview Cir, Ste 104
Newport Beach, CA 92660-2059
Phone (714) 386-9766

Other names 1

  • Homecoming Psychiatry Inc Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1386498905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BAYVIEW CIR, STE 104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602059",
            "telephone_number": "714-386-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 MACARTHUR BLVD STE A-2285",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602059",
            "telephone_number": "714-386-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECOMING PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "GULRAIZ",
        "authorized_official_first_name": "ANAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-386-9766"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homecoming Psychiatry Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Homecoming Psychiatry Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 22, 2024; 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.