Active NPI
Simrin Jaglan, PSYD
- Clinical Psychologist
- Newport Beach, CA
National Provider Identifier
1396248266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31521
- Practice address
- 351 Hospital Rd Ste 206
Newport Beach, CA 92663-3504 - Phone
- (949) 216-0123
- NPI assigned
- Mar 16, 2018
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071009721 | IL | |
| Clinical Psychologist | 103TC0700X | 31521 | CA | Primary |
Addresses
Primary practice location
351 Hospital Rd Ste 206
Newport Beach, CA 92663-3504
Mailing address
16835 Algonquin St Ste 355
Huntington Beach, CA 92649-3810
Phone (949) 216-0123
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 |
|---|---|---|---|
| 071009721 | IL | MD | Clinical Psychologist |
| 31521 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1396248266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16835 ALGONQUIN ST STE 355",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926493810",
"telephone_number": "949-216-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 HOSPITAL RD STE 206",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633504",
"telephone_number": "949-216-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGLAN",
"first_name": "SIMRIN",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071009721",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "31521",
"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 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.