Individual provider Active NPI

Nourit H Korzennik, PH D

  • Psychologist
  • Torrance, CA
National Provider Identifier
1023042082
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 15745 Issued in CA
Practice address
24050 Madison St
Suite 100-C
Torrance, CA 90505-6015
Phone
(310) 378-7333
NPI assigned
Jul 10, 2006
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 15745 CA Primary

Addresses

Primary practice location

24050 Madison St
Suite 100-C
Torrance, CA 90505-6015

Mailing address

24050 Madison St
Ste 100C
Torrance, CA 90505-6080
Phone (310) 378-7333

Other identifiers 1

IdentifierTypeStateIssuer
PSY1574151MedicaidCA

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 Philosophy

State licenses

LicenseStateTypeSpecialty
15745CAMDMental Health Counselor
PSY 15745CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Resources Psychological Group Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1023042082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST",
            "address_2": "STE 100C",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056080",
            "telephone_number": "310-378-7333",
            "fax_number": "310-378-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST",
            "address_2": "SUITE 100-C",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056015",
            "telephone_number": "310-378-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORZENNIK",
        "first_name": "NOURIT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 15745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY1574151",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.