Individual provider Active NPI

Duaa Kheirieh, PSYD

  • Clinical Psychologist
  • Chino Hills, CA
National Provider Identifier
1821708207
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY33777 Issued in CA
Practice address
4195 Chino Hills Pkwy Unit 1020
Chino Hills, CA 91709-2618
Phone
(909) 276-4758
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY33777 CA Primary

Addresses

Primary practice location

4195 Chino Hills Pkwy Unit 1020
Chino Hills, CA 91709-2618

Mailing address

4195 Chino Hills Pkwy Unit 1020
Chino Hills, CA 91709-2618
Phone (909) 276-4758

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

LicenseStateTypeSpecialty
PSY33777CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1821708207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 CHINO HILLS PKWY UNIT 1020",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092618",
            "telephone_number": "909-276-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 CHINO HILLS PKWY UNIT 1020",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092618",
            "telephone_number": "909-276-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEIRIEH",
        "first_name": "DUAA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33777",
            "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 Nov 28, 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.