NPIMap

Organization Active NPI

Dr Haygoush Kalinian

  • Clinical Neuropsychologist
  • San Juan Capistrano, CA
National Provider Identifier
1609296086
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY20155 Issued in CA
Legal business name
DR HAYGOUSH KALINIAN
Practice address
30320 Rancho Viejo Rd
St 5
San Juan Capistrano, CA 92675-1581
Phone
(949) 481-8414
Fax
(949) 481-8415
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Haygoush Kalinian, PHDNPI 1346205101
Title
Neuropsychologit
Phone
(949) 481-8414

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X PSY20155 CA Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY20155 CA

Addresses

Primary practice location

30320 Rancho Viejo Rd
St 5
San Juan Capistrano, CA 92675-1581

Mailing address

30320 Rancho Viejo Rd
St 5
San Juan Capistrano, CA 92675-1581
Phone (949) 481-8414

Other identifiers 2

IdentifierTypeStateIssuer
7099933OtherCAAETNA
CP20155OtherCAMEDICARE ID

National Provider Directory

National Provider Directory

Locations

30320 Rancho Viejo Rd
Ste 5
San Juan Capistrano, CA 92675
Phone (949) 481-8414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1609296086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30320 RANCHO VIEJO RD",
            "address_2": "ST 5",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751581",
            "telephone_number": "949-481-8414",
            "fax_number": "949-481-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30320 RANCHO VIEJO RD",
            "address_2": "ST 5",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751581",
            "telephone_number": "949-481-8414",
            "fax_number": "949-481-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HAYGOUSH KALINIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "KALINIAN",
        "authorized_official_first_name": "HAYGOUSH",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIT",
        "authorized_official_telephone_number": "949-481-8414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY20155",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7099933",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CP20155",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.