MINA OAK (PHD) – Clinical Neuropsychologist, NPI 1114051919
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,434 CLINICAL PSYCHOLOGIST in CA
Provider Addresses for MINA OAK (PHD)
200 S MANCHESTER AVE STE 300
ORANGE, CA 928683219
Phone: (714) 456-2986
Type: Mailing
101 THE CITY DR S
ORANGE, CA 928683201
Phone: (714) 456-8068
Fax: (714) 456-3765
Type: Location
PO BOX 513620
LOS ANGELES, CA 900513620
Phone: (714) 456-8068
Fax: (714) 456-3765
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-01-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080111000642 | I | Clinical Psychologist | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96133 | Evaluation of neuropsychological test, each additional hour | 642 | 198 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 218 | 199 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 31 | 31 | $0 |
Insurance plans in this area (ZIP 92868)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | CA | 96118 | Neuropsychological testing, interpretation, and report by psychologist or physician per hour | 749 | 179 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Internal Medicine, Geriatric Medicine | CA | |
| Family Practice, Geriatric Medicine | CA | |
| Family Practice | CA | |
| Geriatric Medicine, Family Practice | CA | |
| Family Practice, Sports Medicine | CA | |
| - | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Family Practice | CA |
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