Individual provider Active NPI

Natalia Nikolova, PH.D.

  • Clinical Psychologist
  • Irvine, CA
National Provider Identifier
1992190383
Registry record updated Mar 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26976 Issued in CA
Practice address
17744 Sky Park Cir
Ste 285
Irvine, CA 92614-4461
Phone
(310) 800-1791
Fax
(310) 496-2952
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X PSY26976 CA
Clinical Psychologist 103TC0700X PSY26976 CA Primary

Addresses

Primary practice location

17744 Sky Park Cir
Ste 285
Irvine, CA 92614-4461

Mailing address

13700 Alton Pkwy 154-145
Irvine, CA 92618

Other practice location 1

16755 Von Karman Ave Ste 200
Irvine, CA 92606-4963
Phone (310) 800-1791

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
I20180219002446 CA Practitioner - Clinical Psychologist 5991066748 Practice locations: Irvine, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17748 Sky Park Cir
Suite 250
Irvine, CA 92614-4110
Phone (310) 800-1791

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY26976CAMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Tomilowitz, Psychological Services Inc. Clinical PastSince Jun 15, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522454400000",
    "number": "1992190383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 ALTON PKWY 154-145",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17744 SKY PARK CIR",
            "address_2": "STE 285",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144461",
            "telephone_number": "310-800-1791",
            "fax_number": "310-496-2952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16755 Von Karman Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926064963",
            "country_code": "US",
            "telephone_number": "310-800-1791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKOLOVA",
        "first_name": "NATALIA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2018-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY26976",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.