Active NPI
Steven J. Hendlin, PH.D.
- Psychologist
- Newport Beach, CA
National Provider Identifier
1770677387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 5019
- Practice address
- 230 Newport Center Dr.
#220
Newport Beach, CA 92660-7533 - Phone
- (949) 644-7707
- Fax
- (949) 720-0940
- NPI assigned
- Oct 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 5019 | CA | Primary |
Addresses
Primary practice location
230 Newport Center Dr.
#220
Newport Beach, CA 92660-7533
Mailing address
230 Newport Center Dr.
#220
Newport Beach, CA 92660-7533
Phone (949) 644-7707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33-0138485 | Other | FED. TAX ID |
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 5019 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770677387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 NEWPORT CENTER DR.",
"address_2": "#220",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607533",
"telephone_number": "949-644-7707",
"fax_number": "949-720-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 NEWPORT CENTER DR.",
"address_2": "#220",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607533",
"telephone_number": "949-644-7707",
"fax_number": "949-720-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDLIN",
"first_name": "STEVEN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 5019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED. TAX ID",
"identifier": "33-0138485",
"state": null
}
],
"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 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.