Active NPI
Jeffrey Michael Rehm, PH.D.
- Psychologist
- Laguna Beach, CA
National Provider Identifier
1710901624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 4009
- Practice address
- 1999 S Coast Hwy
Suite 7
Laguna Beach, CA 92651-3663 - Phone
- (949) 494-9194
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 4009 | CA | Primary |
| Psychologist | 103T00000X | PSY4009 | CA |
Addresses
Primary practice location
1999 S Coast Hwy
Suite 7
Laguna Beach, CA 92651-3663
Mailing address
412 N Coast Hwy
Box 225
Laguna Beach, CA 92651-1674
Phone (949) 494-9194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 4009 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710901624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 N COAST HWY",
"address_2": "BOX 225",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926511674",
"telephone_number": "949-494-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 S COAST HWY",
"address_2": "SUITE 7",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926513663",
"telephone_number": "949-494-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REHM",
"first_name": "JEFFREY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 4009",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY4009",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.