Active NPI
Carole A Bardin, PHD
- Clinical Psychologist
- Newport Beach, CA
National Provider Identifier
1417095290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY10545
- Practice address
- 32 Rue Grand Vallee
Newport Beach, CA 92660-5250 - Phone
- (949) 454-6314
- Fax
- (949) 640-1874
- NPI assigned
- Feb 2, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY10545 | CA | Primary |
Addresses
Primary practice location
32 Rue Grand Vallee
Newport Beach, CA 92660-5250
Mailing address
32 Rue Grand Vallee
Newport Beach, CA 92660-5250
Phone (949) 454-6314
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10545 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417095290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 RUE GRAND VALLEE",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926605250",
"telephone_number": "949-454-6314",
"fax_number": "949-640-1874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 RUE GRAND VALLEE",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926605250",
"telephone_number": "949-454-6314",
"fax_number": "949-640-1874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARDIN",
"first_name": "CAROLE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY10545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
- Shabnam Barati, RD
- Sally T Barbella, NP
- James E Barber, MD
- Teena Barbre, PSYD.
- Danielle Bard
- Brittany Kelly Bargers, LMFT
- Bariatric Weight Management Systems a Medical Group Inc (Lindora Health Clinic)
- Andrew Barie, DPT, PT
- Barkate and Ogbevoen, a General Partnership (Barkate Orthodontics Dental Practice)
- Jeffrey Ian Barke, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.