Individual provider Active NPI

Dina Bishay Zayat, PSY.D.

  • Clinical Psychologist
  • Laguna Hills, CA
National Provider Identifier
1902917180
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18709 Issued in CA
Practice address
25251 Paseo de Alicia
105
Laguna Hills, CA 92653-4616
Phone
(949) 595-8610
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PSY18709 CA Primary

Addresses

Primary practice location

25251 Paseo de Alicia
105
Laguna Hills, CA 92653-4616

Mailing address

24992 Rancho Clemente
Laguna Niguel, CA 92677-7410
Phone (949) 295-9332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200416000679 CA Practitioner - Clinical Psychologist 6709917180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4631 Teller Ave
Suite 100
Newport Beach, CA 92660-8105
Phone (949) 887-7187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY18709CAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Psychiatry & Mental Health, Professional Corporation CurrentSince Mar 7, 2020 Accepting new patients

Locations

4631 Teller Ave
Newport Beach, CA 92660
Phone (949) 292-1881

4631 Teller Ave
Ste 100
Newport Beach, CA 92660
Phone (949) 335-7500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902917180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24992 RANCHO CLEMENTE",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777410",
            "telephone_number": "949-295-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25251 PASEO DE ALICIA",
            "address_2": "105",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534616",
            "telephone_number": "949-595-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYAT",
        "first_name": "DINA",
        "middle_name": "BISHAY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.