NICOLE SALLY LIGHTMAN


Address: 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660
Phone: 9497431457

NICOLE SALLY LIGHTMAN (NPI# 1164735551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164735551
Entity Type Individual
Full Name NICOLE SALLY LIGHTMAN
Credential PHD
Practice Address 4700 Von Karman Ave Ste 102
Newport Beach
CA 92660
Mailing Address Po Box 26224
Santa Ana
CA 92799-6224
Practice Telephone 9497431457
Practice Fax Number 9496292500
Mailing Telephone 5204008171
Enumeration Date 2010-07-14
Last Update Date 2018-08-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
PSY28608 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3400 Avenue of The Arts Apt A220, Costa Mesa, CA 926267116 5204008171

Office Location

Street Address 4700 VON KARMAN AVE STE 102
City NEWPORT BEACH
State CA
Zip Code 92660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174130652 Diane Li Psychologist 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 2020-09-28
1104432228 Shashonk Illam Student in an Organized Health Care Education/Training Program 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 2020-09-23
1699387381 Brittany Nicole Taylor Counselor 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 2020-08-23
1902414600 Willie Hardeman Counselor 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 2020-07-19
1336767177 Amin Salek Psychologist 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 2020-07-08
1265050363 Kevin Lee Student in an Organized Health Care Education/Training Program 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 2020-07-06
1669010666 Kathy Le Student in an Organized Health Care Education/Training Program 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 2019-12-20
1225692726 Tiffany Justine Trent Counselor 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660-2194 2019-04-30
1861902280 Julia Evans Phd Psychology PC Clinical Neuropsychologist 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660 2017-10-11
1760924849 Julia Evans Clinical Neuropsychologist 4700 Von Karman Ave Ste 102, Newport Beach, CA 92660 2016-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275144024 Lumins Aesthetic and Wellness, Inc Dermatology 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 2020-08-14
1205445798 Felecia A Pedrogo Marriage & Family Therapist 5020 Campus Street, Newport Beach, CA 92660 2020-07-30
1649898388 Polyviou Dental Corportation, Inc. Clinic/Center 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 2020-07-09
1154974525 Jan M. Eckermann, Md Inc. Neurological Surgery 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 2019-07-24
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1902366925 Yasmine Central Gohar Marriage & Family Therapist 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 2019-03-25
1245703255 Charison Counseling Counselor 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 2019-01-03
1134698996 Amber Werner Chiropractor 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 2018-11-21
1861969008 Healthy Me Oc Dietitian, Registered 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 2018-10-25
1174015192 Edwin Enwia Clinic/Center 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 2018-06-05
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316229560 Harpreet Kaur Psychologist 3900 W Coast Hwy Ste 380, Newport Beach, CA 92663-4028 2011-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124631312 Kathleen Carroll-wray Psychologist 818 W 7th St Ste 930, Los Angeles, CA 90017-3476 2020-08-26
1568082113 Laura Adery Psychologist 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 2020-04-23
1073148938 Kristine Fleming Psychologist 4309 Campbell Dr, Pittsburg, CA 94565-6017 2020-03-11
1730711375 Benjamin Alpert, Psyd, A Psychological Corporation Psychologist 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 2020-02-11
1073144010 Melissa Alexis Ramirez Psychologist 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 2020-01-29
1063042851 Making A Difference Association, Inc. Psychologist 1430 E Cooley Drive, Ste 111, Colton, CA 92324 2020-01-21
1184264533 New Vision Counseling Center Psychologist 8050 La Mesa Blvd, La Mesa, CA 91942-0335 2020-01-14
1235778614 Jessica Herbold Psychologist 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 2020-01-02
1003478405 Melissa Berrenge-browde Psychologist 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 2019-07-05
1811555840 Rebecca Cole Psychologist 5149 High Meadow Court, Fremont, CA 94536 2019-06-04
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Competitor

Search similar providers

City NEWPORT BEACH
Zip Code 92660

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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