Individual provider Active NPI

Marian Nashed, PSYD

  • Clinical Psychologist
  • Costa Mesa, CA
National Provider Identifier
1962872572
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33190 Issued in CA
Practice address
940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757
Phone
(949) 743-1457
Fax
(949) 274-8299
NPI assigned
Sep 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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 33190 CA Primary

Addresses

Primary practice location

940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757

Mailing address

940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757
Phone (949) 742-1457

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
I20220812002767 CA Practitioner - Clinical Psychologist 1951784685 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Julia Evans PHD Psychology PC Clinical CurrentSince May 3, 2022 Accepting new patients
Pasadena Clinical Group, a Psychology Corporation Clinical Past Accepting new patients
Western Youth Services Past Accepting new patients
New Alternatives Inc. Past Accepting new patients

Locations

2173 Salk Ave
Ste 250
Carlsbad, CA 92008
Phone (760) 477-8585

940 S Coast Dr
Ste 225
Costa Mesa, CA 92626
Phone (949) 742-1457

Organizations & group practices 4

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": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1962872572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S COAST DR STE 225",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267757",
            "telephone_number": "949-742-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S COAST DR STE 225",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267757",
            "telephone_number": "949-743-1457",
            "fax_number": "949-274-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASHED",
        "first_name": "MARIAN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.