Individual provider Active NPI

Katarzyna Osenkowska, MFTI, PCCI

  • Student in an Organized Health Care Education/Training Program
  • Hayward, CA
National Provider Identifier
1184169120
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
PCCI304 Issued in CA
Practice address
2595 Depot Rd
Hayward, CA 94545-2341
Phone
(510) 784-5874
NPI assigned
Dec 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PCCI304 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X IMF95356 CA

Addresses

Primary practice location

2595 Depot Rd
Hayward, CA 94545-2341

Mailing address

22688 2ND St
Hayward, CA 94541-4210
Phone (510) 582-2100

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

LicenseStateTypeSpecialty
IMF95356CAMDStudent in an Organized Health Care Education/Training Program
PCCI304CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Services, Inc 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": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1184169120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22688 2ND ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414210",
            "telephone_number": "510-582-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 DEPOT RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452341",
            "telephone_number": "510-784-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSENKOWSKA",
        "first_name": "KATARZYNA",
        "name_prefix": "Mrs.",
        "credential": "MFTI, PCCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "PCCI304",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "IMF95356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.