Active NPI
Nancy Bement, PSY D
- Clinical Psychologist
- Santa Ana, CA
National Provider Identifier
1780245241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY29287
- Practice address
- 1651 E 4TH St Ste 140
Santa Ana, CA 92701-5173 - Phone
- (714) 863-2460
- NPI assigned
- Jun 25, 2019
- Last updated
- Jun 25, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY29287 | CA | Primary |
Addresses
Primary practice location
1651 E 4TH St Ste 140
Santa Ana, CA 92701-5173
Mailing address
1651 E 4TH St Ste 140
Santa Ana, CA 92701-5173
Phone (714) 863-2460
Other names 1
- Nancy Gilbert
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29287 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1780245241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 E 4TH ST STE 140",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015173",
"telephone_number": "714-863-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 E 4TH ST STE 140",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015173",
"telephone_number": "714-863-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEMENT",
"first_name": "NANCY",
"credential": "PSY D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY29287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "GILBERT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.