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EMERALD SHORES PSYCHOLOGICAL PROFESSIONAL CORPORATION
NPI 1003453804
Psychologist - Clinical in Mission Viejo, CA

Active since November 30, 2019
27702 RUBIDOUX, MISSION VIEJO, CA 92692(949) 231-9968 Get Directions Write a Review

NPPES record last updated: August 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2024, Nov 30, 2019 (2 updates tracked since 2019).

About Emerald Shores Psychological Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD SHORES PSYCHOLOGICAL PROFESSIONAL CORPORATION (NPI 1003453804), doing business as Emerald Shores Psychological Center, is a healthcare organization registered as a clinical in Mission Viejo, California and active in the NPI registry since November 2019. The organization lists Payam Jafari, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1003453804
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameEMERALD SHORES PSYCHOLOGICAL PROFESSIONAL CORPORATION
Location Address27702 RUBIDOUXMission Viejo, CA 92692-5223
Mailing Address6230 Irvine Blvd Unit 503Irvine, CA 92620-2103 · (949) 436-9418
Phone(949) 231-9968
Organization SubpartNo
Authorized OfficialPayam JafariPsychologist · (949) 231-9968
Enumeration DateNovember 30, 2019
Last NPPES UpdateAugust 17, 20242 updates tracked since enumeration
NPPES CertifiedAugust 17, 2024
✔ NPI 1003453804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
27702 RUBIDOUX, Mission Viejo, CA 92692
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Other Names 1

Former Legal Business NameEmerald Shores Psychological Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emerald Shores Psychological Professional Corporation's NPI number?

The NPI number for Emerald Shores Psychological Professional Corporation is 1003453804. It was assigned to this organization in the NPPES registry on November 30, 2019. The provider was formerly known as Emerald Shores Psychological Center.

Where is Emerald Shores Psychological Professional Corporation located?

Emerald Shores Psychological Professional Corporation is located at 27702 Rubidoux, Mission Viejo, CA 92692. The listed phone number is (949) 231-9968.

What is Emerald Shores Psychological Professional Corporation's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Emerald Shores Psychological Professional Corporation was last updated on August 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.