| Allied Psychological Services, P.c. | |
|
23 Corporate Plaza Dr Ste 150 Newport Beach CA 92660-7908 | |
| (949) 329-7337 | |
| Not Available |
| Full Name | Allied Psychological Services, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 23 Corporate Plaza Dr Ste 150, Newport Beach, California |
| Authorized Official Name and Position | Samira Vafadar (OWNER/ CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7143940017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Psychological Services, P.c. 21 Crockett Irvine CA 92620-3331 Ph: (714) 394-0017 | Allied Psychological Services, P.c. 23 Corporate Plaza Dr Ste 150 Newport Beach CA 92660-7908 Ph: (949) 329-7337 |
| NPI Number | 1619487287 |
|---|---|
| Provider Enumeration Date | 10/09/2017 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Medicare PECOS PAC ID | 1759640816 |
|---|---|
| Medicare Enrollment ID | O20180117002208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619487287 | NPI | - | NPPES |
| PSY28213 | Other | CA | BOARD OF PSYCHOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jason Dorin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427365337 PECOS PAC ID: 8022312552 Enrollment ID: I20160203002435 |
| Provider Name | Samira Vafadar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689963514 PECOS PAC ID: 4486937497 Enrollment ID: I20170216000962 |
| Provider Name | Nicole Sally Lightman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164735551 PECOS PAC ID: 4880967348 Enrollment ID: I20170905001177 |
| Provider Name | Payam Jafari |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417207358 PECOS PAC ID: 3678811866 Enrollment ID: I20190213002388 |
| Provider Name | Rachel Kwon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962863720 PECOS PAC ID: 0547630931 Enrollment ID: I20221229000689 |
| Provider Name | Galya Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023724176 PECOS PAC ID: 6709241094 Enrollment ID: I20230419002401 |
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