Individual provider Active NPI

Christina F. Joanitis, PHD

  • Clinical Psychologist
  • Harbor City, CA
National Provider Identifier
1053690586
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33152 Issued in CA
Practice address
25420 Vermont Avenue
Harbor City, CA 90710
Phone
(562) 304-5870
NPI assigned
Aug 15, 2011
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 33152 CA Primary

Addresses

Primary practice location

25420 Vermont Avenue
Harbor City, CA 90710

Mailing address

25420 Vermont Avenue
Harbor City, CA 90710
Phone (562) 304-5870

Other names 1

  • Miss Christina F. Kabiri Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712003021 CA Practitioner - Clinical Psychologist 4486034170 Reassigns benefits to 1 organization
Practice locations: Harbor City, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25420 Vermont Ave
Harbor City, CA 90710-3123
Phone (562) 304-5870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33152CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joanitis Psychological Services, Inc. Clinical CurrentSince May 14, 2024 Accepting new patients
Azusa Pacific University Past Accepting new patients

Locations

25420 Vermont Ave
Harbor City, CA 90710
Phone (562) 304-5870

1379 W Park Western Dr
San Pedro, CA 90732
Phone (310) 403-4415

Organizations & group practices 2

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1053690586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25420 VERMONT AVENUE",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "562-304-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25420 VERMONT AVENUE",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "562-304-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOANITIS",
        "first_name": "CHRISTINA",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "KABIRI",
            "middle_name": "F.",
            "prefix": "MISS",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harbor City, CA

Sources for this page

Verify at the official NPI Registry.