Active NPI
M Rynda Norsell, PH.D.
- Clinical Psychologist
- Grass Valley, CA
National Provider Identifier
1144256702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY10382
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10382 | CA | MD | Health Service Psychologist |
| 10382 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Rehabilitation Practitioner
- Auburn, CA
- NPI 1285667808
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.