Organization Active NPI

Nekoranec Psychology, a Prof Corp

  • Cognitive & Behavioral Psychologist
  • San Juan Capistrano, CA
National Provider Identifier
1861898140
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
NEKORANEC PSYCHOLOGY, A PROF CORP
Practice address
30230 Rancho Viejo Rd # 134
San Juan Capistrano, CA 92675-1557
Phone
(949) 371-7856
NPI assigned
Nov 13, 2014
Last updated
Feb 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Dr. Janise Marie Nekoranec, PH.D.NPI 1831439652
Title
Owner
Phone
(949) 371-7856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X Primary

Addresses

Primary practice location

30230 Rancho Viejo Rd # 134
San Juan Capistrano, CA 92675-1557

Mailing address

30230 Rancho Viejo Rd # 134
San Juan Capistrano, CA 92675-1557
Phone (949) 371-7856

Other identifiers 2

IdentifierTypeStateIssuer
GY831AOtherCAMEDICARE PTAN
1831439652OtherCANPPES

National Provider Directory

National Provider Directory

Locations

3772 Katella Ave
Ste 108
Los Alamitos, CA 90720
Phone (949) 371-7856

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1861898140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30230 RANCHO VIEJO RD # 134",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751557",
            "telephone_number": "949-371-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30230 RANCHO VIEJO RD # 134",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751557",
            "telephone_number": "949-371-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEKORANEC PSYCHOLOGY, A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "NEKORANEC",
        "authorized_official_first_name": "JANISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-371-7856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GY831A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1831439652",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.