Organization Active NPI

Julie Rayhanabad, PH.D., a Psychological Corporation

  • Clinical Psychologist
  • Chino Hills, CA
National Provider Identifier
1790209906
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY29047 Issued in CA
Legal business name
JULIE RAYHANABAD, PH.D., A PSYCHOLOGICAL CORPORATION
Practice address
14708 Pipeline Ave Ste B
Chino Hills, CA 91709-1296
Phone
(909) 393-8585
Fax
(909) 393-8566
NPI assigned
Jul 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Julie Rayhanabad, PH.D.
Title
Clinical Psychologist
Phone
(909) 258-4482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY29047 CA Primary

Addresses

Primary practice location

14708 Pipeline Ave Ste B
Chino Hills, CA 91709-1296

Mailing address

3851 Katella Ave Ste 375
Los Alamitos, CA 90720-3377
Phone (909) 258-4482

Other practice location 1

3851 Katella Ave Ste 375
Los Alamitos, CA 90720-3377
Phone (909) 393-8585

National Provider Directory

National Provider Directory

Locations

14708 Pipeline Ave
Ste B
Chino Hills, CA 91709
Phone (909) 393-8585

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": "1501286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790209906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 375",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203377",
            "telephone_number": "909-258-4482",
            "fax_number": "909-393-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14708 PIPELINE AVE STE B",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091296",
            "telephone_number": "909-393-8585",
            "fax_number": "909-393-8566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Katella Ave Ste 375",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907203377",
            "country_code": "US",
            "telephone_number": "909-393-8585",
            "fax_number": "909-393-8566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JULIE RAYHANABAD, PH.D., A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-29",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "RAYHANABAD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "909-258-4482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

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