Newport Psychology

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

26906 Issued in CA

Legal business name

NEWPORT PSYCHOLOGY

Practice address

23 Corporate Plaza Dr Ste 150
Newport Beach, CA 92660

Phone

(949) 887-2007

NPI assigned

Jul 8, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eileen Paniagua, PSY.D.NPI 1760775704

Title

President

Phone

(949) 887-2007

Specialties & licenses 1

Addresses

Locations

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.

• Eileen Paniagua, PSY.D.

  • Clinical Neuropsychologist
  • Newport Beach, CA
  • NPI 1760775704
  NPD Authorized official

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932621216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CORPORATE PLAZA DR STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607908",
            "telephone_number": "949-887-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CORPORATE PLAZA DR STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-887-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PANIAGUA",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-887-2007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "26906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newport Partners Surgicenter
• Newport Pathology
• Newport Pediatrics
• Newport Plastic Surgery Inc
• Newport Psychiatry Inc
• Newport Pulmonary Associates
• Newport Radiosurgery Center, a Medical Corporation
• Newport RX Consulting
• Newport Specialist Inc
• Newport Superior Dialysis, LLC (Newport Superior Dialysis)

• Clinical Neuropsychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.