Individual provider Active NPI

Dean Lim, PHD

  • Clinical Psychologist
  • Brea, CA
National Provider Identifier
1942878665
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33795 Issued in CA
Practice address
3350 E Birch St Ste 206
Brea, CA 92821-6267
Phone
(562) 431-8822
NPI assigned
Jun 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 33795 CA Primary

Addresses

Primary practice location

3350 E Birch St Ste 206
Brea, CA 92821-6267

Mailing address

3350 E Birch St Ste 206
Brea, CA 92821-6267

Other practice location 1

1550 Bayside Dr Ste 2
Corona Del Mar, CA 92625-1711
Phone (909) 239-9738

Other practice location 2

1440 N Harbor Blvd Ste 255
Fullerton, CA 92835-4127
Phone (909) 239-9738

Other practice location 3

250 Newport Center Dr Ste M106
Newport Beach, CA 92660-7516
Phone (949) 783-9590

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
I20230127000925 CA Practitioner - Clinical Psychologist 2668843715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

3350 E Birch St
Suite 206
Brea, CA 92821-6267
Phone (562) 431-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33795CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seda Terzyan, a Psychological Corporation Clinical CurrentSince Jan 1, 2023 Accepting new patients
Pacific Coast Psychiatric Associates Inc Clinical CurrentSince Jun 29, 2024 Accepting new patients
Providence Medical Foundation PastSince Jun 1, 2021 Accepting new patients

Locations

3350 E Birch St
Ste 206
Brea, CA 92821
Phone (562) 725-4966

1550 Bayside Dr
Corona del Mar, CA 92625
Phone (949) 280-7729

1550 Bayside Dr
Ste 2
Corona del Mar, CA 92625
Phone (909) 239-9738

1440 N Harbor Blvd
Ste 255
Fullerton, CA 92835
Phone (909) 239-9738

4040 Barranca Pkwy
Ste 260
Irvine, CA 92604

250 Newport Center Dr
Ste M106
Newport Beach, CA 92660
Phone (949) 783-9590

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dean.lim.1@17999.direct.athenahealth.com

Organizations & group practices 3

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": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1942878665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 E BIRCH ST STE 206",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 E BIRCH ST STE 206",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216267",
            "telephone_number": "562-431-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Bayside Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Corona Del Mar",
            "state": "CA",
            "postal_code": "926251711",
            "country_code": "US",
            "telephone_number": "909-239-9738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 N Harbor Blvd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928354127",
            "country_code": "US",
            "telephone_number": "909-239-9738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Newport Center Dr Ste M106",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607516",
            "country_code": "US",
            "telephone_number": "949-783-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.