Active NPI
Joseph Latham, PSY.D.
- Clinical Psychologist
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35056
- Practice address
- 27201 Puerta Real Ste 300
Mission Viejo, CA 92691-8590 - Phone
- (949) 592-6500
- NPI assigned
- Jul 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY.0006386 | CO | |
| Forensic Psychologist | 103TF0200X | 35056 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 35056 | CA | Primary |
Addresses
Primary practice location
27201 Puerta Real Ste 300
Mission Viejo, CA 92691-8590
Mailing address
27201Puerta Real
Ste 300
Mission Viejo, CA 92691-7359
Phone (949) 592-6500
Other practice location 1
448 S McCulloch Blvd # 1052
Pueblo West, CO 81007-2888
Phone (949) 291-0038
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
27201 Puerta Real
Suite 300
Mission Viejo, CA 92691-8590
Phone (949) 291-0038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0006386 | CO | MD | Clinical Psychologist |
| 35056 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seahorse Psychology Center Corp | Clinical | Current | Accepting new patients |
Locations
3943 Irvine Blvd
Irvine, CA 92602
Phone (714) 922-0120
27201 Puerta Real
Ste 300
Mission Viejo, CA 92691
Phone (714) 552-1317
448 S McCulloch Blvd
Pueblo West, CO 81007
Phone (719) 696-1160
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.
-
- Clinical Psychologist
- Sacramento, CA
- NPI 1730934027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1932621034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27201PUERTA REAL",
"address_2": "STE 300",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926917359",
"telephone_number": "949-592-6500",
"fax_number": "949-420-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27201 PUERTA REAL STE 300",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926918590",
"telephone_number": "949-592-6500"
}
],
"practiceLocations": [
{
"address_1": "448 S McCulloch Blvd # 1052",
"address_purpose": "LOCATION",
"city": "Pueblo West",
"state": "CO",
"postal_code": "810072888",
"country_code": "US",
"telephone_number": "949-291-0038",
"fax_number": "719-888-1756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATHAM",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-10",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0006386",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "35056",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "35056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.