Organization Active NPI

Seda Terzyan, a Psychological Corporation

  • Clinical Psychologist
  • Newport Beach, CA
National Provider Identifier
1487145819
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY29251 Issued in CA
Legal business name
SEDA TERZYAN, A PSYCHOLOGICAL CORPORATION
Practice address
250 Newport Center Dr Ste M106
Newport Beach, CA 92660-7516
Phone
(949) 783-9590
Fax
(855) 681-6902
NPI assigned
May 22, 2018
Last updated
Mar 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Dr. Seda Terzyan, PHDNPI 1114464328
Title
Clinical Psychologist
Phone
(949) 783-9590

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
Clinical Psychologist 103TC0700X PSY29251 CA Primary

Addresses

Primary practice location

250 Newport Center Dr Ste M106
Newport Beach, CA 92660-7516

Mailing address

250 Newport Center Dr Ste M106
Newport Beach, CA 92660-7516
Phone (949) 783-9590

Other practice location 1

1550 Bayside Dr Ste 2
Corona Del Mar, CA 92625-1711
Phone (949) 783-9590

Other practice location 2

1440 N Harbor Blvd Ste 255
Fullerton, CA 92835-4127
Phone (949) 783-9590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180711002443 CA Part B Supplier - Clinic/Group Practice 7315293925 Receives reassigned benefits from 6 practitioners
Practice locations: Fullerton, CA; Mission Viejo, CA; Newport Beach, CA; Corona del Mar, CA

National Provider Directory

National Provider Directory

Locations

1550 Bayside Dr
Corona del Mar, CA 92625
Phone (949) 280-7729

1550 Bayside Dr
Ste 2
Corona del Mar, CA 92625
Phone (909) 239-9738

1440 N Harbor Blvd
Ste 255
Fullerton, CA 92835
Phone (909) 239-9738

250 Newport Center Dr
Ste M106
Newport Beach, CA 92660
Phone (818) 395-2238

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1487145819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NEWPORT CENTER DR STE M106",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607516",
            "telephone_number": "949-783-9590",
            "fax_number": "855-681-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NEWPORT CENTER DR STE M106",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607516",
            "telephone_number": "949-783-9590",
            "fax_number": "855-681-6902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Bayside Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Corona Del Mar",
            "state": "CA",
            "postal_code": "926251711",
            "country_code": "US",
            "telephone_number": "949-783-9590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 N Harbor Blvd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928354127",
            "country_code": "US",
            "telephone_number": "949-783-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEDA TERZYAN, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "TERZYAN",
        "authorized_official_first_name": "SEDA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "949-783-9590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29251",
            "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 Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.