Individual provider Active NPI

Suzanne Rhonda Onikul-Ross, PH.D.

  • Counseling Psychologist
  • Irvine, CA
National Provider Identifier
1073679007
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY13933 Issued in CA
Practice address
7 Corporate Park
Suite 235
Irvine, CA 92606-5107
Phone
(949) 852-1961
Fax
(949) 852-0220
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY13933 CA Primary

Addresses

Primary practice location

7 Corporate Park
Suite 235
Irvine, CA 92606-5107

Mailing address

10 Corporate Park
Ste 240
Irvine, CA 92606-3100
Phone (949) 852-1961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2019 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY13933CAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1073679007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CORPORATE PARK",
            "address_2": "STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926063100",
            "telephone_number": "949-852-1961",
            "fax_number": "949-852-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CORPORATE PARK",
            "address_2": "SUITE 235",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065107",
            "telephone_number": "949-852-1961",
            "fax_number": "949-852-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONIKUL-ROSS",
        "first_name": "SUZANNE",
        "middle_name": "RHONDA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY13933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.