Active NPI
Kort Christopher Ulicny, M.D.
- Psychiatry Physician
- Irvine, CA
National Provider Identifier
1003089145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A130534
- Practice address
- 139 Tenor
Irvine, CA 92618-1796 - Phone
- (949) 339-7299
- Fax
- (949) 946-6763
- NPI assigned
- Apr 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 8219595-1205 | UT | |
| Psychiatry Physician | 2084P0800X | 248104 | MA | |
| Psychiatry Physician | 2084P0800X | A130534 | CA | Primary |
Addresses
Primary practice location
139 Tenor
Irvine, CA 92618-1796
Mailing address
139 Tenor
Irvine, CA 92618-1796
Phone (949) 339-7299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A130534 | CA | MD | Psychiatry Physician |
| 248104 | MA | MD | Psychiatry Physician |
| 8219595-1205 | UT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1003089145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 TENOR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926181796",
"telephone_number": "949-339-7299",
"fax_number": "949-946-6763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 TENOR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926181796",
"telephone_number": "949-339-7299",
"fax_number": "949-946-6763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULICNY",
"first_name": "KORT",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-09",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "8219595-1205",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "248104",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A130534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.