Yaron Pruginin, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY21146 Issued in CA

Practice address

4565 Ruffner St Ste 108
San Diego, CA 92111-2258

Phone

(858) 268-9000

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy Connections Counseling a Psychological CorporationGroup PAC ID 0244512655, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthy Connections Counseling, a Psychological Corporation

  dba Healthy Connections Counseling Center

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1093165581
  Medicare reassignment Care Compare group NPD
• Christina M Zampitella, Psy.D. Psychologist PC

  dba Integrative Psychological and Assessment Services

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1467622308
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1235206640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 RUFFNER ST STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112259",
            "telephone_number": "619-838-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 RUFFNER ST STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112258",
            "telephone_number": "858-268-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUGININ",
        "first_name": "YARON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "PSY21146",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Proxima Medical Group
• Brigite Prud'Homme
• Elizabeth Pruett
• Michelle Pruett, NP
• Zhike Pruett, N.P.
• Bianca Lashea Pruitt
• Jacey Layne Pruitt
• Bailey Michelle Pruneda
• Mackenzie Prusack
• Natalie Prussak

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.

Verify at the official NPI Registry.