Teri M. Pokrajac, Psy.D. and Associate, a Clinical Psychology Corporat

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY15458 Issued in CA

Legal business name

TERI M. POKRAJAC, PSY.D. AND ASSOCIATE, A CLINICAL PSYCHOLOGY CORPORAT

Doing business as

Teri M. Pokrajac, Psy.D. and Associates

Practice address

4060 Campus Dr Ste 120
Newport Beach, CA 92660-2205

Phone

(949) 475-0145

Fax

(949) 475-2977

NPI assigned

Feb 29, 2012

Last updated

Feb 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Teri M. Pokrajac, PSY.D.NPI 1891900940

Title

Owner

Phone

(949) 475-0145

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teri M. Pokrajac, Psy.D. and Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Teri M Pokrajac PSYD and Associate a Clinical Psychology Corporat2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Teri M. Pokrajac, Psy.D. & Associates

  • Psychologist
  • Newport Beach, CA
  • NPI 1780899831
  NPD tax ID

Locations

Practitioners 4

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.

• Teri M Pokrajac, PSY.D.

  • Psychologist
  • Newport Beach, CA
  • NPI 1891900940
  Medicare reassignment Authorized official
• Gregg Michael Baringoldz, PH.D.

  • Cognitive & Behavioral Psychologist
  • Long Beach, CA
  • NPI 1346220589
  NPD (past)
• Paul T Depompo, PSY.D.

  • Psychologist
  • Newport Beach, CA
  • NPI 1013028265
  NPD (past)
• Tralyece Aeryoll Wright

  • Clinical Psychologist
  • Newport Beach, CA
  • NPI 1275291536
  NPD (past)

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1720352214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 CAMPUS DR STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602205",
            "telephone_number": "949-475-0145",
            "fax_number": "949-475-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 CAMPUS DR STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602205",
            "telephone_number": "949-475-0145",
            "fax_number": "949-475-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERI M. POKRAJAC, PSY.D. AND ASSOCIATE, A CLINICAL PSYCHOLOGY CORPORAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "POKRAJAC",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-475-0145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY15458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CP15458",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teri M. Pokrajac, Psy.D. and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Robert Tencati, MD
• Tenley K. Lawton, M.D., Inc.
• Cynthia Guadalupe Teran
• Amy L Teresi, M.D.
• Teri M. Pokrajac, Psy.D. & Associates
• Terry Dubrow, M.D., a Medical Corporation
• Terry J. Dubrow a Medical Corp
• Nita Tewari, PHD
• Maung Phone Myat Tha
• Nadet Thach

• Community/Behavioral Health Agency in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.