Active NPI
Carolina Rygula
- Counselor
- Fairfield, CA
National Provider Identifier
1235260282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1745 Enterprise Dr
Building 2
Fairfield, CA 94533-5801 - Phone
- (707) 554-2397
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| School Psychologist | 103TS0200X | 4342 | CA |
Addresses
Primary practice location
1745 Enterprise Dr
Building 2
Fairfield, CA 94533-5801
Mailing address
578 Tawny Lake PL
Fairfield, CA 94534-6665
Phone (707) 673-6330
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1235260282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 TAWNY LAKE PL",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945346665",
"telephone_number": "707-673-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 ENTERPRISE DR",
"address_2": "BUILDING 2",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335801",
"telephone_number": "707-554-2397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYGULA",
"first_name": "CAROLINA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "4342",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.