Individual provider Active NPI

Nicole Rouse Motakef, D.O.

  • Child & Adolescent Psychiatry Physician
  • Yorba Linda, CA
National Provider Identifier
1609308758
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
20A16793 Issued in CA
Practice address
21580 Yorba Linda Blvd Ste B
Yorba Linda, CA 92887-3748
Phone
(949) 414-9495
Fax
(949) 593-0312
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 20A16793 CA Primary

Addresses

Primary practice location

21580 Yorba Linda Blvd Ste B
Yorba Linda, CA 92887-3748

Mailing address

21580 Yorba Linda Blvd Ste B
Yorba Linda, CA 92887-3748
Phone (949) 414-9495

Other names 1

  • Nicole Christina Rouse Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 11, 2022 through Jul 11, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16793CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mbldn TMS PC CurrentSince Jun 23, 2025 Accepting new patients
Mbldn Psychiatry Current Accepting new patients
Osmind Healthcare Ca PC Past Accepting new patients

Locations

500 S Anaheim Hills Rd
Ste 246
Anaheim, CA 92807
Phone (714) 747-3300

21580 Yorba Linda Blvd
Ste B
Yorba Linda, CA 92887
Phone (949) 414-9495

Interoperability endpoints

  • Direct secure messaging: nicole.motakef.1@33079.direct.athenahealth.com

Organizations & group practices 3

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1609308758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21580 YORBA LINDA BLVD STE B",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873748",
            "telephone_number": "949-414-9495",
            "fax_number": "949-593-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21580 YORBA LINDA BLVD STE B",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873748",
            "telephone_number": "949-414-9495",
            "fax_number": "949-593-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAKEF",
        "first_name": "NICOLE",
        "middle_name": "ROUSE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "20A16793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ROUSE",
            "middle_name": "CHRISTINA",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.