Pratik U Patel, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

30800 Issued in CA

Practice address

23986 Aliso Creek Rd
# 210
Laguna Niguel, CA 92677-3908

Phone

(323) 489-5880

NPI assigned

Mar 6, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Psychotherapy Movement, a Prof. Psychological Corporation

  • Psychologist
  • Laguna Niguel, CA
  • NPI 1457299927
  NPD Authorized official

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1659839801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23986 ALISO CREEK RD",
            "address_2": "# 210",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773908",
            "telephone_number": "323-489-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23986 ALISO CREEK RD",
            "address_2": "# 210",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773908",
            "telephone_number": "323-489-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRATIK",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-06",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L. Pastore, PHD
• Anjaliben Patel
• Jyotinkumar K Patel, M.D.
• Kavita Darji Patel, M.D.
• Parag Patel
• Shaili Kiranbhai Patel
• Mira N Pathak
• Harriet A Patick, MFT
• Debbie R Patterson, CCC-SLP
• Paul D. Corona, M.D., Inc. (South County Family Medical Group)

• Clinical Psychologist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.