Individual provider Active NPI

Rumana Mansur, PHD

  • Psychologist
  • Newport Beach, CA
National Provider Identifier
1558523738
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
27348 Issued in CA
Practice address
4000 Macarthur Blvd Ste 600
Newport Beach, CA 92660-2517
Phone
(657) 223-3360
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 27348 CA Primary

Addresses

Primary practice location

4000 Macarthur Blvd Ste 600
Newport Beach, CA 92660-2517

Mailing address

4000 Macarthur Blvd Ste 600
East Tower
Newport Beach, CA 92660-2517
Phone (657) 223-3360

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
I20160218002052 CA Practitioner - Clinical Psychologist 7719282300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4000 Macarthur Blvd
Suite 600
Newport Beach, CA 92660-2516

4000 Macarthur Blvd
Suite 600
Newport Beach, CA 92660-2517
Phone (657) 223-3360

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Rumana Mansur and Associates, a Professional Psychological Corpora CurrentSince Jun 15, 2017 Accepting new patients

Locations

4000 MacArthur Blvd
Ste 600
Newport Beach, CA 92660
Phone (657) 223-3360

180 Newport Center Dr
Ste 270D
Newport Beach, CA 92660
Phone (657) 223-3360

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1558523738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MACARTHUR BLVD STE 600",
            "address_2": "EAST TOWER",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602517",
            "telephone_number": "657-223-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MACARTHUR BLVD STE 600",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602517",
            "telephone_number": "657-223-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSUR",
        "first_name": "RUMANA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "27348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.