Individual provider Active NPI

M Rynda Norsell, PH.D.

  • Clinical Psychologist
  • Grass Valley, CA
National Provider Identifier
1144256702
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10382 Issued in CA
Practice address
204 W Main St
Grass Valley, CA 95945-4711
Phone
(530) 320-5886
Fax
(530) 888-0960
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY10382 CA Primary
Health Service Psychologist 103TH0100X PSY10382 CA

Addresses

Primary practice location

204 W Main St
Grass Valley, CA 95945-4711

Mailing address

10556 Combie Rd
PMB 6511
Auburn, CA 95602-8908
Phone (530) 320-5886

Other names 1

  • Dr. M Rynda Norsell Professional name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10556 Combie Rd
Auburn, CA 95602-8908

12769 Friar Tuck Rd
Grass Valley, CA 95949-8745

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY10382CAMDHealth Service Psychologist
10382CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Pain Rehabilitation Medical Ctr. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1144256702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10556 COMBIE RD",
            "address_2": "PMB 6511",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028908",
            "telephone_number": "530-320-5886",
            "fax_number": "530-888-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W MAIN ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959454711",
            "telephone_number": "530-320-5886",
            "fax_number": "530-888-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORSELL",
        "first_name": "M",
        "middle_name": "RYNDA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10382",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "PSY10382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "NORSELL",
            "middle_name": "RYNDA",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.