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NICOLE SALLY LIGHTMAN PHD
NPI 1164735551
Psychologist - Clinical Child & Adolescent in Newport Beach, CA

Active since July 14, 2010PECOS EnrolledAccepts Medicare Assignment
4700 VON KARMAN AVE STE 102, NEWPORT BEACH, CA 92660(949) 743-1457(949) 629-2500 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2018, May 10, 2018 (2 updates tracked since 2018).

About Nicole Sally Lightman Phd NPPES

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

NICOLE SALLY LIGHTMAN PHD (NPI 1164735551) is an individual clinical child & adolescent provider in Newport Beach, California, licensed in California (PSY28608) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Costa Mesa, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164735551
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameNICOLE SALLY LIGHTMANCredential: PHD
Location Address4700 VON KARMAN AVE STE 102Newport Beach, CA 92660
Mailing AddressPo Box 26224Santa Ana, CA 92799-6224 · (520) 400-8171
Phone(949) 743-1457
Fax(949) 629-2500
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 14, 2010
Last NPPES UpdateAugust 30, 20182 updates tracked since enumeration
✔ NPI 1164735551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CA · PSY28608
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
4700 VON KARMAN AVE STE 102, Newport Beach, CA 92660
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Secondary Practice Location 1

Location 13400 Avenue Of The Arts Apt A220Costa Mesa, CA 92626-7116 · Phone (520) 400-8171

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Sally Lightman Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880967348
PECOS Enrollment IDI20170905001177
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEYOND BEAUTY MEDICAL SPA INC
General Practice
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Orange County (949) 203-3434
SPENCER LOONG M.A.
Student in an Organized Health Care Education/Training Program
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Orange County (949) 746-1457
DIANE LI
Psychologist
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Orange County (949) 743-1457
TIFFANY JUSTINE TRENT
Marriage & Family Therapist
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Orange County (949) 743-1457
JASON DORIN PSYD
Psychologist (Clinical)
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Orange County (949) 743-1457
BROOKE NADINE DAVIDSON PSYD
Psychologist
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Orange County (949) 743-1457
ASIL ZAINA DAKAK NP
Nurse Practitioner
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Orange County (949) 203-3434
BRIANNA MORGAN PSY.D.
Psychologist
4700 VON KARMAN AVE STE 102
NEWPORT BEACH, CA 92660
Orange County (949) 743-1457

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 Nicole Lightman's NPI number?

The NPI number for Nicole Lightman is 1164735551. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Where is Nicole Lightman located?

Nicole Lightman practices at 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660. The listed phone number is (949) 743-1457.

What is Nicole Lightman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Nicole Lightman enrolled in Medicare?

Yes. Nicole Lightman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicole Lightman was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.