Mariam Mott, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY16181 Issued in CA

Practice address

31371 Rancho Viejo Rd Ste 203
San Juan Capistrano, CA 92675-1849

Phone

(949) 858-6688

Fax

(949) 858-6986

NPI assigned

May 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1780896175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28562 OSO PKWY",
            "address_2": "SUITE D-437",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885595",
            "telephone_number": "949-858-6688",
            "fax_number": "949-858-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31371 RANCHO VIEJO RD STE 203",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751849",
            "telephone_number": "949-858-6688",
            "fax_number": "949-858-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY16181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Raithel Morris
• Emily Morton, OTR/L
• Ronald E Moser, M.D.
• Ayat Moses, DC
• Jacquelyn Mota
• Kirstin Leigh Motte, MPT MASTERS OF PHYSI
• Ashley Mozart, MA
• Javonne Mullins
• Marleen Munoz
• Asia Murdy, BCBA

• Clinical Child & Adolescent Psychologist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.