Active NPI
Peter D Nierman, M.D.
- Child & Adolescent Psychiatry Physician
- Aliso Viejo, CA
National Provider Identifier
1801994769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- G168746
- Practice address
- 200 Freedom LN
Aliso Viejo, CA 92656-5876 - Phone
- (949) 900-8600
- Fax
- (949) 221-3590
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G168746 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | G168746 | CA | Primary |
Addresses
Primary practice location
200 Freedom LN
Aliso Viejo, CA 92656-5876
Mailing address
1450 W Long Lake Rd Ste 340
Troy, MI 48098-6330
Phone (248) 905-5091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061106000583 | IL | Practitioner - Psychiatry | 9739186669 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G168746 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Psychiatric Solutions, P.C. | Psychiatry | Current | Accepting new patients |
Locations
200 Freedom Ln
Aliso Viejo, CA 92656
Phone (213) 928-2194
5201 White Ln
Bakersfield, CA 93309
Phone (661) 398-1800
1450 W Long Lake Rd
Ste 340
Troy, MI 48098
Phone (248) 839-5381
Interoperability endpoints
- pniermanmd22882@uchospital.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Santa Rosa, CA
- NPI 1740758754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1801994769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 W LONG LAKE RD STE 340",
"city": "TROY",
"state": "MI",
"postal_code": "480986330",
"telephone_number": "248-905-5091",
"fax_number": "248-905-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FREEDOM LN",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926565876",
"telephone_number": "949-900-8600",
"fax_number": "949-221-3590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIERMAN",
"first_name": "PETER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G168746",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "G168746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.