Coastal Psychological Services, Inc.
NPI 1588161384ActiveOrganization· Psychologist, Clinical· Newport Beach, CA
Psychologist, Clinical in Newport Beach, California, registered in NPPES in April 2018. The authorized official on file is Jennifer Leath, PSYD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588161384 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2018 |
| Last updated in NPPES | May 31, 2024 |
| Certified by provider | May 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY26109 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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