VANESSA STAPLES PHD
NPI 1992299028
Clinical Neuropsychologist in Newport Beach, CA

Q: What is Vanessa Staples's NPI number?

The NPI number for Vanessa Staples is 1992299028. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Q: What is Vanessa Staples's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Vanessa Staples was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 21, 2018PECOS Enrolled

4631 TELLER AVE STE 100, NEWPORT BEACH, CA 92660(949) 887-7187(949) 476-3080 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2021, Jun 21, 2018 (2 updates tracked since 2018).

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About Vanessa Staples Phd NPPES

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

VANESSA STAPLES PHD (NPI 1992299028) is an individual clinical neuropsychologist in Newport Beach, California, licensed in California (PSY31960) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992299028

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameVANESSA STAPLESCredential: PHD

Location Address4631 TELLER AVE STE 100Newport Beach, CA 92660-8105

Mailing Address4631 Teller Ave Ste 100Newport Beach, CA 92660-8105 · (949) 887-7187 · Fax (949) 476-3080

Phone(949) 887-7187

Fax(949) 476-3080

Sole ProprietorNo

Enumeration DateJune 21, 2018

Last NPPES UpdateJanuary 11, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2021

✔ NPI 1992299028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Licenses✔ Licensed in CA · PSY31960✔ Licensed in AZ · PSY-004971

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

4631 TELLER AVE STE 100, Newport Beach, CA 92660

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vanessa Staples Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 15

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

CHELSEA VILICICH PA-C

Physician Assistant