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Dr. Mariam Ibrahim , PhD

Psychologist β€’ Orange, CA

Active NPI 1780295832 Individual Practitioner Female Practitioner
Practice location in NPPES

1120 W La Veta Ave Ste 470
Orange, CA 928684233

Call 7145098481 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1120 W La Veta Ave Ste 470

Orange, CA 928684233

Telephone 7145098481
Organization at the Same NPPES Address or Phone
Children's Hospital Of Orange County Facility NPI 1225419302

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Orange and California

88 active clinicians are listed under Psychologist with a practice address in Orange, CA (7,399 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Orange

4.5% of these 88 clinicians have the CMS telehealth indicator.

10.2% of these 88 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-10
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES CA PSB94025519

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address October 07, 2020

Registered at 1120 W LA VETA AVE STE 470, ORANGE, CA 928684233 (Tel: 8186750240)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2020

Psychologist (license number reported to NPPES: CA PSB94025519)

βœ…
NPI Profile Active August 17, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 17, 2020

Registered at 1120 W LA VETA AVE STE 470, ORANGE, CA 928684233 (Tel: 8186750240)

πŸ“
Business Mailing Address (Initial Record) August 17, 2020

Registered at 2163 E ASPEN DR, TEMPE, AZ 852822963 (Tel: 8186750240)

πŸ‘€
Provider Name / Credentials (Initial Record) August 17, 2020

Recorded as MARIAM IBRAHIM, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 12, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780295832
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2020
Last Update: October 10, 2023
Sole Proprietor: Yes

Other Psychologists in Orange

Healthcare providers in Orange

Mailing Address

1120 W La Veta Ave Ste 470

Orange, CA 928684233

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.