Kyle Pontius, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

14186 Issued in CA

Practice address

1700 Adams Ave Ste 214
Costa Mesa, CA 92626-4865

Phone

(714) 957-1973

Fax

(714) 957-1922

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Journeys Counseling Ministry

  • Marriage & Family Therapist
  • Costa Mesa, CA
  • NPI 1588873616
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1164564027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80951",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926880951",
            "telephone_number": "714-957-1973",
            "fax_number": "714-957-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ADAMS AVE STE 214",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264865",
            "telephone_number": "714-957-1973",
            "fax_number": "714-957-1922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26461 Crown Valley Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916377",
            "country_code": "US",
            "telephone_number": "714-957-1973 x113",
            "fax_number": "714-957-1922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONTIUS",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "14186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellia Ponbida
• Marisol Ponce Garcia
• Carlos Jesus Ponce-Vivar
• Jamila Ukelee Ponder, F.N.P.-C
• Patana Pongvarin
• Jessica Poplawski
• Dennis Popp, NP
• Logan Paige Porter, LPCC
• Carly Portillo
• Ashley Posavec

• Psychologist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.