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JUDITH RUTH PROFANT PHD CBSM NPI 1346485810


NPI Information

NPI: 1346485810
Provider Name: JUDITH RUTH PROFANT, PHD, CBSM
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
5001 BIRCH ST
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 302-2020
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Judith Ruth Profant, PHD, CBSM is a clinical psychologist in Newport Beach, CA. The provider is 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. Judith Ruth Profant, PHD, CBSM NPI is 1346485810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5001 BIRCH ST
NEWPORT BEACH, CA
ZIP 92660-116
Phone: (949) 302-2020

The enumeration date for this NPI number is 12/11/2008 and was last updated on 12/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY20784CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.