Katie Miranda Scott, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

133562 Issued in CA

Practice address

12821 Newport Ave
Tustin, CA 92780-2711

Phone

(951) 233-4197

NPI assigned

Jan 18, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Optum Behavioral Care of California, P.C.

  • Clinical Psychologist
  • Rancho Cucamonga, CA
  • NPI 1417718297
  NPD
• Optum Behavioral Care of California, P.C.

  • Clinical Social Worker
  • Costa Mesa, CA
  • NPI 1447137740
  NPD
• Gunn Behavioral Care of California, PC

  • Psychologist
  • Rancho Cucamonga, CA
  • NPI 1669734604
  NPD (past)

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1386359867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 EAGLE CREST DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928814074",
            "telephone_number": "951-233-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12821 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802711",
            "telephone_number": "951-233-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KATIE",
        "middle_name": "MIRANDA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "133562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Lynn Schultz
• Schuppet Dental Corporation
• Andrea Schwab, DC
• Kimberley R. Argue Schwartz, PHD
• Scott Small, D.O., Inc.
• Ramon Scruggs, M.D.
• Jean Louis Selam
• Select Specialty RX
• Carl R Selin, M.D.
• Menuka Senaratne

• Marriage & Family Therapist in Tustin, CA
• Providers in Tustin, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.