Individual provider Active NPI

Rasoul Malekjah, PH.D./CLINICAL PSYCH

  • Clinical Psychologist
  • Mission Viejo, CA
National Provider Identifier
1538613740
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
24792 Issued in CA
Practice address
26131 Marguerite Pkwy Ste D
Mission Viejo, CA 92692-3161
Phone
(949) 304-0911
NPI assigned
Aug 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 24792 CA Primary

Addresses

Primary practice location

26131 Marguerite Pkwy Ste D
Mission Viejo, CA 92692-3161

Mailing address

26131 Marguerite Pkwy Ste D
Mission Viejo, CA 92692-3161
Phone (949) 304-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161102002802 CA Practitioner - Clinical Psychologist 4688952195 Reassigns benefits to 1 organization
Practice locations: Mission Viejo, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26131 Marguerite Pkwy
Suite D
Mission Viejo, CA 92692-3161
Phone (949) 304-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
24792CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Green Pacific Counseling & Psychology Inc Clinical CurrentSince Jun 1, 2023 Accepting new patients

Locations

23282 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (714) 264-5456

25431 Cabot Rd
Ste 111
Laguna Hills, CA 92653
Phone (949) 304-0911

26131 Marguerite Pkwy
Ste D
Mission Viejo, CA 92692
Phone (949) 304-0911

Organizations & group practices 2

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": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1538613740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26131 MARGUERITE PKWY STE D",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923161",
            "telephone_number": "949-304-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26131 MARGUERITE PKWY STE D",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923161",
            "telephone_number": "949-304-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEKJAH",
        "first_name": "RASOUL",
        "name_prefix": "Dr.",
        "credential": "PH.D./CLINICAL PSYCH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "24792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.