# MATTHEW N. KOURY, MD, MPH A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mind Health Institute, Newport Beach
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154864205
- **Authorized official:** DR. MATTHEW N KOURY M.D., M.P.H. (OWNER)
- **Authorized official phone:** (949) 891-0307

## Contact information

- **Practice address:** 450 NEWPORT CENTER DR, SUITE 380, NEWPORT BEACH, CA 92660-7610
- **Practice address phone:** (949) 891-0307
- **Practice address fax:** (800) 217-8204
- **Mailing address:** 450 NEWPORT CENTER DR, SUITE 380, NEWPORT BEACH, CA 92660-7610
- **Mailing address phone:** (949) 891-0307
- **Mailing address fax:** (800) 217-8204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | A99131 | CA | — |
| 103TC0700X | Clinical Psychologist | A91131 | CA | — |
| 106H00000X | Marriage & Family Therapist | A91131 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A91131 | CA | Yes |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 11/22/2016