Organization Active NPI

Negar Nazari PHD Psychologist Inc

  • Adult Mental Health Clinic/Center
  • San Diego, CA
National Provider Identifier
1770148694
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NEGAR NAZARI PHD PSYCHOLOGIST INC
Practice address
3636 4TH Ave Ste 304
San Diego, CA 92103-4294
Phone
(858) 481-8827
NPI assigned
May 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Dr. Negar Nazari, PH.D.NPI 1063854099
Title
Independent Practitioner
Phone
(619) 483-1427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3636 4TH Ave Ste 304
San Diego, CA 92103-4294

Mailing address

9450 Mira Mesa Blvd # C676
San Diego, CA 92126-4801
Phone (619) 483-1427

Other practice location 1

9450 Mira Mesa Blvd # C676
San Diego, CA 92126-4801
Phone (619) 483-1427

Other identifiers 1

IdentifierTypeStateIssuer
1063854099MedicaidCA

Other names 1

  • Palm View Psychology Doing business as

National Provider Directory

National Provider Directory

Locations

9450 Mira Mesa Blvd
#C676
San Diego, CA 92126
Phone (619) 483-1427

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1770148694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 MIRA MESA BLVD # C676",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264801",
            "telephone_number": "619-483-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 4TH AVE STE 304",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034294",
            "telephone_number": "858-481-8827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9450 Mira Mesa Blvd # C676",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921264801",
            "country_code": "US",
            "telephone_number": "619-483-1427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEGAR NAZARI PHD PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "NAZARI",
        "authorized_official_first_name": "NEGAR",
        "authorized_official_title_or_position": "INDEPENDENT PRACTITIONER",
        "authorized_official_telephone_number": "619-483-1427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063854099",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm View Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm View Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.