Active NPI
Christine Colburn
- Psychologist
- Los Alamitos, CA
National Provider Identifier
1104443845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY14968
- Practice address
- 4132 Katella Ave Ste 203
Los Alamitos, CA 90720-6600 - Phone
- (714) 505-5832
- NPI assigned
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY14968 | CA | Primary |
Addresses
Primary practice location
4132 Katella Ave Ste 203
Los Alamitos, CA 90720-6600
Mailing address
4132 Katella Ave Ste 203
Los Alamitos, CA 90720-6600
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY14968 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1104443845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4132 KATELLA AVE STE 203",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907206600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4132 KATELLA AVE STE 203",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907206600",
"telephone_number": "714-505-5832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBURN",
"first_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY14968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
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- Alan H Cohen, M.D.
- Gerald A Cohen, MD
- Colibri Family Therapy Services, Inc
- Companion Care Services Enterprises Inc
- Completeeyecareassociates
- Compound Central Pharmacy
- Comprehensive Gi Care, a Professional Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.