Individual provider Active NPI

Daphna Hollander, PSY.D

  • Psychologist
  • Irvine, CA
National Provider Identifier
1851644686
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY18308 Issued in CA
Practice address
1 League Unit 61252
Irvine, CA 92602-7057
Phone
(310) 806-3198
NPI assigned
Oct 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY18308 CA Primary

Addresses

Primary practice location

1 League Unit 61252
Irvine, CA 92602-7057

Mailing address

1 League Unit 61252
Irvine, CA 92602-7057
Phone (310) 806-3198

Other names 1

  • Daphna Ghozland Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY18308CAMDPsychologist
18308CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Care Solutions Group Inc CurrentSince May 1, 2016 Accepting new patients

Locations

1526 Brookhollow Dr
Ste 73
Santa Ana, CA 92705
Phone (714) 545-3390

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.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1851644686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEAGUE UNIT 61252",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926027057",
            "telephone_number": "310-806-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LEAGUE UNIT 61252",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926027057",
            "telephone_number": "310-806-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "DAPHNA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY18308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAPHNA",
            "last_name": "GHOZLAND",
            "credential": "PSY.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.