Individual provider Active NPI

Hessam Motamedian, PSY.D.

  • Psychologist
  • Irvine, CA
National Provider Identifier
1609236033
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
28100 Issued in CA
Practice address
17762 Cowan Ste 100
Irvine, CA 92614-6899
Phone
(949) 342-5053
NPI assigned
Feb 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 28100 CA Primary

Addresses

Primary practice location

17762 Cowan Ste 100
Irvine, CA 92614-6899

Mailing address

17762 Cowan Ste 100
Irvine, CA 92614-6899
Phone (310) 800-0535

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
I20160602002555 CA Practitioner - Clinical Psychologist 0244520229 Reassigns benefits to 1 organization
Practice locations: Costa Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bernous Psychological Services IncGroup PAC ID 1355773938, 2 clinicians

Practice addresses (Care Compare)

17762 Cowan
Suite 100
Irvine, CA 92614-6899
Phone (949) 679-4000

1901 Newport Blvd
Suite 350 Office 301
Costa Mesa, CA 92627-2278
Phone (310) 800-0535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bernous Psychological Services Inc Psychologist CurrentSince Sep 1, 2025 Accepting new patients

Locations

17762 Cowan
Ste 100
Irvine, CA 92614
Phone (949) 342-5053

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1609236033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17762 COWAN STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146899",
            "telephone_number": "310-800-0535"
        },
        {
            "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": "926146899",
            "telephone_number": "949-342-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAMEDIAN",
        "first_name": "HESSAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-26",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "28100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.