Organization Active NPI

Serene Shift Psychological Services

  • Psychologist
  • Newport Beach, CA
National Provider Identifier
1609675420
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SERENE SHIFT PSYCHOLOGICAL SERVICES
Practice address
2707 Hilltop Dr
Newport Beach, CA 92660-5405
Phone
(949) 423-9426
NPI assigned
Mar 12, 2025
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Dr. Justine Laureen Weber, PSYDNPI 1184267254
Title
Owner
Phone
(949) 423-9426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

2707 Hilltop Dr
Newport Beach, CA 92660-5405

Mailing address

2707 Hilltop Dr
Newport Beach, CA 92660-5405
Phone (949) 423-9426

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1609675420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 HILLTOP DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605405",
            "telephone_number": "949-423-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 HILLTOP DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605405",
            "telephone_number": "949-423-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE SHIFT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "LAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-423-9426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.