Charalambos Andreas Kyriacou, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22208 Issued in CA

Practice address

16756 Chino Corona Rd
Corona, CA 92880-9508

Phone

(909) 597-1771

NPI assigned

May 26, 2010

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • Corona, CA
  • NPI 1578199741
  NPD (past)
• SCV Counseling Marriage and Family Therapy Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Clarita, CA
  • NPI 1598475097
  NPD (past)
• State of California

  • Psychiatric Hospital
  • Corona, CA
  • NPI 1366783169
  NPD (past)

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1235458530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16756 CHINO CORONA RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928809508",
            "telephone_number": "909-597-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16756 CHINO CORONA RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928809508",
            "telephone_number": "909-597-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRIACOU",
        "first_name": "CHARALAMBOS",
        "middle_name": "ANDREAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barrie Kurimay
• Jonathan Kusmulyana, NURSE PRACTITIONER
• Jasmine Kwack, PA-C
• Clara Hyunhye Lee Kwon, PA-C
• Seokwon Kwon, D.D.S.
• La Familia and Womens Medical Clinic Inc
• Derek Oai La, PHARM. D.
• Francesca Lacava
• Jacquelyn V Lacera, MD
• Channing Renee Lackey

• Clinical Psychologist in Corona, CA
• Providers in Corona, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.