Corina Constantin-Marconi, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25673 Issued in CA

Practice address

2425 Olympic Blvd Ste 4000W
Santa Monica, CA 90404-4099

Phone

(424) 239-9338

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1104984319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 OLYMPIC BLVD STE 4000W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044099",
            "telephone_number": "424-239-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 OLYMPIC BLVD STE 4000W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044099",
            "telephone_number": "424-239-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTIN-MARCONI",
        "first_name": "CORINA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deva M Connett
• Lynn Shapiro Connolly, M.D.
• Medria Lou Connolly, PH.D.
• Eimy March Connor, PA-C
• Conor Fowler MD, Inc.
• Constantine Elisseev
• Ekaterini Constantine
• Sean Anthony Conte, D.C.
• Nico Conti
• Nathalie Contro, LMFT

• Clinical Psychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.