Organization Active NPI

Self Love Integrative Psychology, Inc

  • Clinical Psychologist
  • Irvine, CA
National Provider Identifier
1538078423
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SELF LOVE INTEGRATIVE PSYCHOLOGY, INC
Practice address
17762 Cowan Ste 100
Irvine, CA 92614-6035
Phone
(949) 342-5053
Fax
(949) 266-5619
NPI assigned
Sep 4, 2026
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Dr. Hessam Motamedian, PSYDNPI 1609236033
Title
Director
Phone
(949) 342-5053

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 PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

17762 Cowan Ste 100
Irvine, CA 92614-6035

Mailing address

4590 Macarthur Blvd Ste 500
Newport Beach, CA 92660-2028
Phone (949) 342-5053

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1538078423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 MACARTHUR BLVD STE 500",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602028",
            "telephone_number": "949-342-5053",
            "fax_number": "949-266-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17762 COWAN STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146035",
            "telephone_number": "949-342-5053",
            "fax_number": "949-266-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF LOVE INTEGRATIVE PSYCHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "MOTAMEDIAN",
        "authorized_official_first_name": "HESSAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-342-5053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.