Individual provider Active NPI

Gabriela E. Sweidan

  • Clinical Psychologist
  • Newport Beach, CA
National Provider Identifier
1447491964
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20654 Issued in CA
Practice address
4570 Campus Dr.
Suite # 8
Newport Beach, CA 92660
Phone
(949) 375-7276
Fax
(949) 706-0792
NPI assigned
Mar 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY20654 CA Primary

Addresses

Primary practice location

4570 Campus Dr.
Suite # 8
Newport Beach, CA 92660

Mailing address

4570 Campus Dr
Suite #8
Newport Beach, CA 92660-8809
Phone (949) 375-7276

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

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1447491964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 CAMPUS DR",
            "address_2": "SUITE #8",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608809",
            "telephone_number": "949-375-7276",
            "fax_number": "949-706-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 CAMPUS DR.",
            "address_2": "SUITE # 8",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-375-7276",
            "fax_number": "949-706-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEIDAN",
        "first_name": "GABRIELA",
        "middle_name": "E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20654",
            "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 Sep 11, 2009; 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.