Individual provider Active NPI

Sheva Assar, PSY.D.

  • Clinical Psychologist
  • Costa Mesa, CA
National Provider Identifier
1497010805
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30306 Issued in CA
Practice address
2845 Harbor Blvd
Costa Mesa, CA 92626-3959
Phone
(949) 556-5383
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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 PSY30306 CA Primary

Addresses

Primary practice location

2845 Harbor Blvd
Costa Mesa, CA 92626-3959

Mailing address

21163 Newport Coast Dr Ste 1004
Newport Coast, CA 92657-1123

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

State licenses

LicenseStateTypeSpecialty
PSY30306CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sheva Assar & Associates, Inc. CurrentSince Dec 21, 2021 Accepting new patients

Locations

2845 Harbor Blvd
Costa Mesa, CA 92626
Phone (949) 478-3851

21163 Newport Coast Dr
Newport Coast, CA 92657
Phone (800) 578-5145

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1497010805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21163 NEWPORT COAST DR STE 1004",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 HARBOR BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263959",
            "telephone_number": "949-556-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSAR",
        "first_name": "SHEVA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.