Active NPI
Kathryn Dorsheimer
- Psychologist
- Fountain Valley, CA
National Provider Identifier
1265826325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 25883
- Practice address
- 10061 Talbert Ave
200
Fountain Valley, CA 92708-5159 - Phone
- (714) 965-3622
- NPI assigned
- Mar 26, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25883 | CA | Primary |
Addresses
Primary practice location
10061 Talbert Ave
200
Fountain Valley, CA 92708-5159
Mailing address
7701 Warner Ave Apt D56
Huntington Beach, CA 92647-4773
Phone (562) 708-3932
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25883 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1265826325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7701 WARNER AVE APT D56",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474773",
"telephone_number": "562-708-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10061 TALBERT AVE",
"address_2": "200",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085159",
"telephone_number": "714-965-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSHEIMER",
"first_name": "KATHRYN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-26",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "25883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.